Individual
DR. AMY STOVER LUNGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3051 CHURCHILL DR STE 220, FLOWER MOUND, TX 75022-5901
(214) 513-1101
(817) 740-2251
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8450
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L7022
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165265301
—
TX
Enumeration date
07/14/2006
Last updated
09/14/2019
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