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General NPI Number Information
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NPI Number | 1851273452
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Entity Type | Organization
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Legal Business Name | LUND WELLNESS COLLECTIVE, LLC
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 432 3RD ST
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City | LANGLEY
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State | WA
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Zip | 98260-9627
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Country | US
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Telephone | 360-205-5935
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Fax |
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Provider Business Mailing Address
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Address Line | 4891 KATYDID CT
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City | FREELAND
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State | WA
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Zip | 98249-9788
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Country | US
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Telephone | 253-273-6003
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Fax |
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Authorized Official
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Title or Position | FUNCTIONAL MEDICINE NUTRITIONIST
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Name | KARIN LINNEA LUND
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Credential | CN
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Telephone | 253-273-6003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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