Ingrid Lundgren in Des Moines - Physician Assistant
Ingrid Lundgren - NPI 1023212446
Ingrid Lundgren is a Physician Assistant in Des Moines, Iowa. Ingrid Lundgren practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ingrid Lundgren is 1023212446. The last update date is 2012-01-04.
Ingrid Lundgren's current location address is 2100 Dixon St, Des Moines, Iowa. You can contact this provider via phone number 5152651020. The mailing address for Ingrid Lundgren is 2100 Dixon St, Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ingrid Lundgren |
|---|---|
| Address | 2100 Dixon St, Des Moines, Iowa |
| Phone Number | 5152651020 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1023212446 |
|---|---|
| Provider Enumeration Date | 2007-06-11 |
| Last Updated Date | 2012-01-04 |
Provider Mailing Address Detail
| Address | 2100 Dixon St |
|---|---|
| City | Des Moines |
| State | Iowa (IA) |
| Post Code | 503162174 |
| Phone Number | 5152651020 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA10004465 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the Ingrid Lundgren's unique identification number?
The Ingrid Lundgren has been assigned the NPI (National Provider Identifier) Number 1023212446 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Ingrid Lundgren's facilities are situated?
The facilities of Ingrid Lundgren are physically located at the following address: 2100 Dixon St, Des Moines, IA, 503162174.
What is Ingrid Lundgren's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ingrid Lundgren is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
When did the Ingrid Lundgren receive its 1023212446?
The Ingrid Lundgren was issued its 1023212446 on 2007-06-11, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Ingrid Lundgren most recently updated or revised?
The information pertaining to Ingrid Lundgren, including its address, specialty, and other relevant details, was last updated or revised on 2012-01-04.
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