EVAN MICHAEL LUNG

FORT WAYNE, IN
NPI1902601768
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-02-17
Last Update Date2025-02-24
Business Address
EVAN MICHAEL LUNG
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805-1445
Phone number: 260-209-4532
Mailing Address
EVAN MICHAEL LUNG
1408 BARON CT
AUBURN, IN 46706-3250
Phone number: 260-209-4532