Healthcare Provider Details

I. General information

NPI: 1417528803
Provider Name (Legal Business Name): HOPE LUNDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2021
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3584 FAIRLANES AVE SW STE 2
GRANDVILLE MI
49418-1583
US

IV. Provider business mailing address

6226 BLENDON DR APT 204
HUDSONVILLE MI
49426-8044
US

V. Phone/Fax

Practice location:
  • Phone: 616-222-5300
  • Fax:
Mailing address:
  • Phone: 616-222-5300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6851115605
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: