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NPI Code Detail

MEDICARE: JILLIAN LUND

MEDICARE: JILLIAN LUND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1225422421
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILLIAN LUND
Provider Business Mailing Address
First Line : 44443 10TH ST W
Second Line :
City : LANCASTER
State : CA
Zip : 93534-3346
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 323 N MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-3130
Country : US
Telephone Number : 702-385-3330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2015
Last Update Date : 02/23/2021

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Directions to “ JILLIAN LUND ” Practice Location

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