Individual
EVAN MICHAEL LUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 E COLISEUM BLVD, FORT WAYNE, IN 46805-1445
(260) 209-4532
Mailing address
1408 BARON CT, AUBURN, IN 46706-3250
(260) 209-4532
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/24/2025
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