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NPI Code Detail

MEDICARE: KAY A LUND RD, CDCES

MEDICARE: KAY A LUND RD, CDCES
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
1133V00000XRegistered Dietitian832327

General Provider Information

NPI Number : 1649311200
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAY A LUND RD, CDCES
Provider Business Mailing Address
First Line : 1065 BUCKS LAKE RD
Second Line :
City : QUINCY
State : CA
Zip : 95971-9599
Country : US
Telephone Number : 541-892-4808
Fax Number : 530-283-3541
Provider Business Practice Location Address
First Line : 1065 BUCKS LAKE RD
Second Line :
City : QUINCY
State : CA
Zip : 95971-9599
Country : US
Telephone Number : 541-892-4808
Fax Number : 530-283-3541
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 06/12/2024

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Directions to “ KAY A LUND RD, CDCES” Practice Location

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