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General NPI Number Information
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NPI Number | 1992126288
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Entity Type | Organization
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Legal Business Name | K.L.LUNDEEN, LLC
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Dates
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Enumeration Date | 01/03/2014
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 2139 ESPEY CT STE 4
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City | CROFTON
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State | MD
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Zip | 21114-2446
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Country | US
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Telephone | 443-584-3047
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Fax |
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Provider Business Mailing Address
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Address Line | 687 DISCOVERY CT
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City | DAVIDSONVILLE
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State | MD
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Zip | 21035-1324
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Country | US
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Telephone | 443-584-3047
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Fax |
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Authorized Official
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Title or Position | OWNER/ACUPUNCTURIST
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Name | KRISTIN LUNDEEN GRIZZELL
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Credential | D.AC.
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Telephone | 443-584-3047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | U02129
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License Number State | MD
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