DELEAN GROSE LUNGER FNP NPI 1962566158

NPI Information

  • NPI: 1962566158
  • Provider Name: DELEAN GROSE LUNGER, FNP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1415 PORTLAND AVE STE 245
    ROCHESTER, NY
    ZIP 14621
  • Phone: (585) 922-4715

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NPI Details

Delean Grose Lunger, FNP is an adult health nurse practitioner in Rochester, NY. Delean Grose Lunger, FNP NPI is 1962566158. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1415 PORTLAND AVE STE 245
ROCHESTER, NY
ZIP 14621
Phone: (585) 922-4715
Fax: (585) 922-3950

The NPI 1962566158 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 6/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthF333699NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102422017MEDICAIDNEW YORK
2117342BJOTHERNEW YORKPREFERRED CARE
3P019333699OTHERNEW YORKBLUE CHOICE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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