Individual
MARTHA LEE LJUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3710 SHIPYARD BOULEVARD, WILMINGTON, NC 28403
(910) 452-1400
(910) 332-1072
Mailing address
3710 SHIPYARD BOULEVARD, WILMINGTON, NC 28403
(910) 452-1400
(910) 332-1072
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36379
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-28704
UNITED HEALTHCARE
NC
01
—
52339
BCBS
NC
05
—
8952339
—
NC
01
—
930085802
RAILROAD MEDICARE
NC
01
—
930086667
RAILROAD MEDICARE
NC
01
—
B4547
MEDCOST
NC
05
—
Q36379
—
SC
Enumeration date
06/15/2005
Last updated
09/29/2010
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