MEDICARE: WELLEV8, LLC

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1255262135
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLEV8, LLC

Provider Business Mailing Address
First Line	:	1880 LOGGERS LN UNIT C
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487-5119
Country	:	US
Telephone Number	:	970-846-3078
Fax Number	:	888-317-7235

Provider Business Practice Location Address
First Line	:	1880 LOGGERS LN UNIT C
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487-5119
Country	:	US
Telephone Number	:	970-846-3078
Fax Number	:	888-317-7235

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. ANNA LUNDEEN
Credential	:	MD
Telephone Number	:	970-846-3078

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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