Doctor Name: | DR. LOIS JEAN DUNEGAN |
NPI Number: | 1831271139 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 4301037571 |
Business Practice Address: | 9912 E Grand River Ave Suite 1000 Brighton, MI - 481161994 |
Business Phone Number: | 8106238182 |
Business Fax Number: | 8102250790 |
Mailing Address: | 9912 E Grand River Ave, Suite 1000 BRIGHTON |
State: | MI |
Postal Code: | 481161994 |
Phone Number: | 8106238182 |
Fax Number: | 8102250790 |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301037571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |