Healthcare Provider Details

I. General information

NPI: 1013102011
Provider Name (Legal Business Name): MRS. MEGAN EILEEN LUNDGREN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2007
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 E COLORADO BLVD STE D
MONROVIA CA
91016-5145
US

IV. Provider business mailing address

518 W OLIVE AVE
MONROVIA CA
91016-3239
US

V. Phone/Fax

Practice location:
  • Phone: 626-272-4908
  • Fax:
Mailing address:
  • Phone: 626-272-4908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: