Individual
ELINE T LUNING PRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8963
(215) 662-1694
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8963
(215) 662-1694
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD066352L
PA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MD066352L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018027000001
—
PA
Enumeration date
06/14/2006
Last updated
10/28/2019
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