Healthcare Provider Details

I. General information

NPI: 1467539668
Provider Name (Legal Business Name): PAULA SUE LUNDE MPH, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 12/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 E CHAPMAN AVE
ORANGE CA
92869-3204
US

IV. Provider business mailing address

2212 E 4TH ST #301
SANTA ANA CA
92705-3870
US

V. Phone/Fax

Practice location:
  • Phone: 714-628-3242
  • Fax: 714-744-0136
Mailing address:
  • Phone: 714-628-3242
  • Fax: 714-744-0136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: