Individual
DR. MICHELLE LUNDEEN PENNIE
Active
Individual
DR. MICHELLE LUNDEEN PENNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
002099
GA
207N00000X
Dermatology Physician
2010011561
MO
207N00000X
Dermatology Physician
Primary
ME108521
FL
Other
Enumeration date
01/29/2008
Last updated
12/22/2012
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