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NPI Code Detail

MEDICARE: MRS. EMILY ELIZABETH LUND LPN

MEDICARE: MRS. EMILY ELIZABETH LUND LPN
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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center201504087LPNOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720441470
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EMILY ELIZABETH LUND LPN
Provider Business Mailing Address
First Line : 35630 ELK MEADOWS DR
Second Line :
City : SAINT HELENS
State : OR
Zip : 97051-3753
Country : US
Telephone Number : 503-919-5821
Fax Number :
Provider Business Practice Location Address
First Line : 324 NW DAVIS ST
Second Line :
City : PORTLAND
State : OR
Zip : 97209-3925
Country : US
Telephone Number : 503-226-2203
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2016
Last Update Date : 05/10/2023

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