Individual
RAYAN M LUNGBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.B.S
Contact information
Practice address
402 W LAKE ST, FRIENDSHIP, WI 53934-9699
(608) 339-3331
Mailing address
402 W LAKE ST, FRIENDSHIP, WI 53934-9699
(608) 339-3331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
85518
WI
207Q00000X
Family Medicine Physician
E-16468
AR
Other
Enumeration date
03/29/2021
Last updated
07/15/2025
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