Provider Demographics
NPI:1336393503
Name:LUNG, JULIANNA C (HIS)
Entity Type:Individual
Prefix:MRS
First Name:JULIANNA
Middle Name:C
Last Name:LUNG
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7424 JACKSON DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92119-2324
Mailing Address - Country:US
Mailing Address - Phone:619-741-4905
Mailing Address - Fax:619-741-4380
Practice Address - Street 1:7424 JACKSON DR
Practice Address - Street 2:SUITE 1
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92119-2324
Practice Address - Country:US
Practice Address - Phone:619-741-4905
Practice Address - Fax:619-741-4380
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-13
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA7078237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist