Provider Demographics
NPI:1801404827
Name:LUNGU, CHIFUNILO
Entity Type:Individual
Prefix:
First Name:CHIFUNILO
Middle Name:
Last Name:LUNGU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 CORBETT ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-5303
Mailing Address - Country:US
Mailing Address - Phone:978-995-3437
Mailing Address - Fax:
Practice Address - Street 1:106 CORBETT ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-5303
Practice Address - Country:US
Practice Address - Phone:978-995-3437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-15
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst