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Individual

SAMORA CHARLES LUNGU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA200001321
DC
363AS0400X
Surgical Physician Assistant
Primary
C07477
MD

Other

Enumeration date
02/15/2019
Last updated
02/13/2025
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