MEDICARE: DR. PATRICIA E. LUND PHD.

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	103T00000X	Psychologist	126871	CA

General Provider Information

NPI Number	:	1477692291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA E. LUND PHD.

Provider Business Mailing Address
First Line	:	700 LIVE OAK AVE
Second Line	:	#3
City	:	MENLO PARK
State	:	CA
Zip	:	94025-4819
Country	:	US
Telephone Number	:	650-327-4274
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 LIVE OAK AVE
Second Line	:	#3
City	:	MENLO PARK
State	:	CA
Zip	:	94025-4819
Country	:	US
Telephone Number	:	650-327-4274
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	07/08/2007

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