Individual
BECKY LYNN LUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3492 LAKE DR SE, GRAND RAPIDS, MI 49546-4338
(616) 957-4057
Mailing address
3492 LAKE DR SE, GRAND RAPIDS, MI 49546-4338
(616) 957-4057
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703042925
MI
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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