Individual
MS. PHYLLIS C LUNGELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1011 ROCK QUARRY RD, RALEIGH, NC 27610-3825
(919) 833-3111
Mailing address
1001 ROCK QUARRY RD, RALEIGH, NC 27610-3825
(919) 833-3111
(919) 834-3118
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103934
NC
Other
Enumeration date
05/13/2006
Last updated
01/08/2020
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