Individual
DELEAN GROSE LUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1415 PORTLAND AVE STE 245, ROCHESTER, NY 14621
(585) 922-4715
(585) 922-3950
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-4715
(585) 922-3950
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F333699
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02422017
—
NY
01
—
117342BJ
PREFERRED CARE
NY
01
—
P019333699
BLUE CHOICE
NY
Enumeration date
12/21/2006
Last updated
06/22/2019
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