Individual
DR. LUNAN SHAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7905 INDIANAPOLIS BLVD, HAMMOND, IN 46324
(219) 364-6388
Mailing address
1001 S STATE ST UNIT 1708, CHICAGO, IL 60605-2231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013650A
IN
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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