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NPI Code Detail

MEDICARE: LAWRENCE K JUNG M.D.

MEDICARE:   LAWRENCE K JUNG  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0216XPediatric Rheumatology Physician57239KY
22080P0216XPediatric Rheumatology PhysicianMD037584DC
3208000000XPediatrics Physician57239KY

General Provider Information

NPI Number : 1902916182
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWRENCE K JUNG M.D.
Provider Business Mailing Address
First Line : PO BOX 37215
Second Line :
City : BALTIMORE
State : MD
Zip : 21297-3215
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 MICHIGAN AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2916
Country : US
Telephone Number : 202-476-6337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 01/12/2024

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Directions to “ LAWRENCE K JUNG M.D.” Practice Location

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