Doctor Name: | KRISTIN LUND |
NPI Number: | 1629155809 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 1920 |
Business Practice Address: | 9695 S. Yosemite St. Ste #324 Lonetree, CO - 80124 |
Business Phone Number: | 3037069054 |
Business Fax Number: | 3033029799 |
Mailing Address: | 1707 Cole Blvd., Ste #100 GOLDEN |
State: | CO |
Postal Code: | 80401 |
Phone Number: | 3037168013 |
Fax Number: | 3037635495 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 12/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1920 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |