Individual
DR. LORI-ANNE TUNGPALAN-GRONDOLSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
272 HOSPITAL RD, CHILLICOTHE, OH 45601-9031
(740) 779-7540
Mailing address
272 HOSPITAL RD, CHILLICOTHE, OH 45601-9031
(740) 779-7540
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
14755
HI
207L00000X
Anesthesiology Physician
35084620
OH
207L00000X
Anesthesiology Physician
Primary
44120
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000344370
ANTHEM
OH
05
—
2515362
—
OH
01
—
P00180905
RAILROAD MEDICARE
OH
Enumeration date
09/01/2006
Last updated
12/28/2020
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