Michelle Lundeen Pennie MD

NPI 1497932784 - Dermatology - 207N00000X

NPI Details
NPI 1497932784
Gender Female
Enumeration Date 01/29/2008
Last Updated 12/22/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
900 PINE ST
STE 122-123
ENGLEWOOD FL, 34223-4418, US
Phone (941) 474-8811
Fax (941) 473-0058
Business Location
900 PINE ST
STE 123
ENGLEWOOD FL, 34223-4418, US
Phone (941) 474-8811
Fax (941) 473-0058
Toxanomy
Taxonomy Code 207N00000X
License State Georgia
License Number 002099
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According to our database, Dr. Michelle Lundeen Pennie MD NPI is 1497932784, taxonomy code is 207N00000X and license number is 002099, license state is located at Georgia. Michelle Lundeen Pennie MD physically located at 900 Pine St, Englewood FL, 34223-4418. NPI Number Michelle Lundeen Pennie MD has the Individual type.

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1497932784 NPI number is provided on an as is basis without warranty of any kind. 1497932784 is maintained by the National Plan & Provider Enumeration System. The contents of Michelle Lundeen Pennie MD are for informational purposes only.