Individual
JEFFREY LUGTU SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN,BSN,CPE,FNP-BC
Contact information
Practice address
10240 CALUMET AVE, MUNSTER, IN 46321-4082
(219) 440-5286
Mailing address
10240 CALUMET AVE, MUNSTER, IN 46321-4082
(219) 440-5286
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71012833A
IN
Other
Enumeration date
08/11/2022
Last updated
08/14/2024
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