Doctor Name: | DR. NICHOLE LUNDY |
NPI Number: | 1396099420 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T |
License Number: | 5501014649 |
Business Practice Address: | 830 W Lake Lansing Rd Suite 250 East Lansing, MI - 488236371 |
Business Phone Number: | 5173338533 |
Business Fax Number: | 5173338539 |
Mailing Address: | Po Box 558, DEWITT |
State: | MI |
Postal Code: | 488200558 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/26/2012 |
NPI Last Update Date: | 12/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501014649 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |