Basic Information
| Provider Information | |||||||||
| NPI: | 1124471198 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LUND | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | JEANNE | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | BSA,SW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1484 N M 52 | ||||||||
| Address2: | |||||||||
| City: | OWOSSO | ||||||||
| State: | MI | ||||||||
| PostalCode: | 488671235 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7703735822 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1484 N M 52 | ||||||||
| Address2: | |||||||||
| City: | OWOSSO | ||||||||
| State: | MI | ||||||||
| PostalCode: | 488671235 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7703735822 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2016 | ||||||||
| LastUpdateDate: | 05/05/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/05/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 247200000X | MI | Y | Technologists, Technicians & Other Technical Service Providers | Technician, Other |
No ID Information.