Healthcare Provider Details

I. General information

NPI: 1588588222
Provider Name (Legal Business Name): LUNDUN J ALFRED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3750 JAMISON ST NE APT 223
WASHINGTON DC
20018-4459
US

IV. Provider business mailing address

1505 CAROLINA CT
UPPER MARLBORO MD
20774-6081
US

V. Phone/Fax

Practice location:
  • Phone: 240-441-7292
  • Fax:
Mailing address:
  • Phone: 240-441-7292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: