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NPI Code Detail

MEDICARE: TANYA LUNDINE APRN

MEDICARE: TANYA LUNDINE APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianAPRN11021863FL

General Provider Information

NPI Number : 1154032332
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANYA LUNDINE APRN
Provider Business Mailing Address
First Line : 901 GROVESMERE LOOP
Second Line :
City : OCOEE
State : FL
Zip : 34761-5625
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 92 W MILLER ST
Second Line :
City : ORLANDO
State : FL
Zip : 32806-2032
Country : US
Telephone Number : 321-841-6917
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2022
Last Update Date : 12/08/2022

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Directions to “ TANYA LUNDINE APRN” Practice Location

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