Teresa Marie Lundy in Gresham - Specialist

Teresa Marie Lundy - NPI 1124241005

Teresa Marie Lundy is a Specialist in Gresham, Oregon. Teresa Marie Lundy practices all healthcare services and medical treatments related to Specialist. The NPI Number for Teresa Marie Lundy is 1124241005. The last update date is 2007-07-08.

Teresa Marie Lundy's current location address is 22400 Se Stark St, Gresham, Oregon. You can contact this provider via phone number 5036747077. The mailing address for Teresa Marie Lundy is 22400 Se Stark St, Gresham, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Teresa Marie Lundy
Address 22400 Se Stark St, Gresham, Oregon
Phone Number 5036747077
Fax Number
Sole Proprietor Y
Credentials LMT

NPI Number Detail

NPI Number 1124241005
Provider Enumeration Date 2007-04-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 22400 Se Stark St
City Gresham
State Oregon (OR)
Post Code 970302656
Phone Number 5036747077
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 6654
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Teresa Marie Lundy

What is the unique provider identifier assigned to Teresa Marie Lundy?

The Teresa Marie Lundy has been issued the NPI (National Provider Identifier) 1124241005 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Teresa Marie Lundy is physically located?

The Teresa Marie Lundy is physically situated at the following address: 22400 Se Stark St, Gresham, OR, 970302656.

What is Teresa Marie Lundy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Teresa Marie Lundy is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

When did Teresa Marie Lundy receive its 1124241005 assignment?

The Teresa Marie Lundy was assigned its 1124241005 on 2007-04-10, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Teresa Marie Lundy most recently updated or revised?

The details related to Teresa Marie Lundy, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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