Most Relevant Information
Provider Data
| NPI Number: | 1003395641 |
| Provider Name: | MYUNGSUN LIPTHRATT FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN.CNP.023045 |
Most Important Dates
| Enumeration Date: | 08/13/2018 |
| Last Updated: | 08/13/2018 |
Provider Practice Location
5245 E MAIN ST
COLUMBUS
OH
432132503
Practice Location Phone/Fax
| Phone: | 6143671654 |
| Fax: | 6144538222 |
Provider Mailing Location
5245 E MAIN ST
COLUMBUS
OH
432132503
Provider Mailing Phone/Fax
| Phone: | 6143671654 |
| Fax: | 6144538222 |