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NPI 1740647734

IndividualActive

Lisa Tungovia

NPI 1740647734 · Technician · Polacca, AZ

Provider details

NPI number: 1740647734
Entity type: Individual
Primary specialty: TechnicianNursing Service Related Providers
Sex: Female
Sole proprietor: Yes
License: 899436 (AZ)

Practice location

Hwy 264 Mile Post 388

Polacca, AZ 86042

Phone: (928) 734-6000

More AZ providers

Mailing address

Hwy 264 Mile Post 388

Polacca, AZ 86042

Registry dates

Enumerated: 2016-01-21
Last updated: 2016-01-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Lisa Tungovia — NPI 1740647734, Polacca, AZ | NPI Central