Healthcare Provider Details

I. General information

NPI: 1487298279
Provider Name (Legal Business Name): KARLA LUNDY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2019
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1735 HECKLE BLVD UNIT M-S130
ROCK HILL SC
29732-4803
US

IV. Provider business mailing address

PO BOX 740003
ATLANTA GA
30374-0003
US

V. Phone/Fax

Practice location:
  • Phone: 803-659-3444
  • Fax: 803-306-6679
Mailing address:
  • Phone: 312-733-9730
  • Fax: 773-866-8014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number32055
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number025902
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: