Healthcare Provider Details

I. General information

NPI: 1427244011
Provider Name (Legal Business Name): LORI LUND LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2007
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11075 S STATE ST STE 2
SANDY UT
84070-5151
US

IV. Provider business mailing address

11075 S STATE ST STE 2
SANDY UT
84070-5151
US

V. Phone/Fax

Practice location:
  • Phone: 801-215-9397
  • Fax:
Mailing address:
  • Phone: 801-215-9397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number653
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: