Healthcare Provider Details

I. General information

NPI: 1821453960
Provider Name (Legal Business Name): ALEXIS LUND D.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2015
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

722 YORKLYN RD STE 350
HOCKESSIN DE
19707-8740
US

IV. Provider business mailing address

722 YORKLYN RD STE 350
HOCKESSIN DE
19707-8740
US

V. Phone/Fax

Practice location:
  • Phone: 302-239-1625
  • Fax: 302-239-1626
Mailing address:
  • Phone: 302-239-1625
  • Fax: 302-239-1626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE1-0000255
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE1-0000255
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: