| Doctor Name: | MRS. MARA LYNN LUND |
| NPI Number: | 1023190121 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPT |
| License Number: | 7786 |
| Business Practice Address: | 54 Garden Ctr Broomfield, CO - 800201730 |
| Business Phone Number: | 3034650084 |
| Business Fax Number: | 3034650584 |
| Mailing Address: | 54 Garden Ctr, BROOMFIELD |
| State: | CO |
| Postal Code: | 800201730 |
| Phone Number: | 3034650084 |
| Fax Number: | 3034650584 |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 01/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 7786 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |