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NPI Code Detail

MEDICARE: KAREN M LUNDGREN L.P.C.P.

MEDICARE: KAREN M LUNDGREN L.P.C.P.
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
1101YP2500XProfessional Counselor1232MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1743040OTHERMTBLUECROSS BLUESHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316034770
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN M LUNDGREN L.P.C.P.
Provider Business Mailing Address
First Line : PO BOX 222
Second Line :
City : MILES CITY
State : MT
Zip : 59301-0222
Country : US
Telephone Number : 406-853-1197
Fax Number : 406-234-9333
Provider Business Practice Location Address
First Line : 2200 BOX ELDER ST
Second Line :
City : MILES CITY
State : MT
Zip : 59301-2899
Country : US
Telephone Number : 406-853-1197
Fax Number : 406-234-9333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2006
Last Update Date : 06/03/2008

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