Individual
SUN MIN LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 E BROAD ST, COLUMBUS, OH 43205-1381
(614) 252-3636
Mailing address
6905 HOSPITAL DR, STE 130, DUBLIN, OH 43016-9600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50002460
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067406
—
OH
Enumeration date
08/12/2011
Last updated
05/20/2019
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