Individual
CAROLYN R CHUNGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
41 MALL RD, LAHEY CLINIC, INC., BURLINGTON, MA 01805-0001
(781) 744-8132
Mailing address
41 MALL RD, LAHEY CLINIC, INC., BURLINGTON, MA 01805-0001
(781) 744-8132
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
258697
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110025323A
—
MA
05
—
30349338
—
NH
Enumeration date
07/18/2006
Last updated
08/16/2013
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