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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANA LYNETTE MUNDY

Active Sole Proprietor

SHANA LYNETTE MUNDY is a Preferred Provider Organization healthcare provider located in SPRINGFIELD, Ohio. NPI 1023605862 is currently active in the NPPES registry. Verify at CMS.

Preferred Provider Organization · SPRINGFIELD, OH

Registration Details

NPI Number
1023605862
Provider Type
Individual
Gender
Female
NPI Issued
Dec 28, 2020 (5.653722823298 yrs)
Last Updated
Dec 28, 2020
Sole Proprietor
Yes

Practice Information

Address
345 LARCHMONT AVE
SPRINGFIELD, OH, 455035423
Browse OH providers · Browse ZIP 45503
Phone
9376315017
Primary Specialty
Preferred Provider Organization
305R00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.