MEDICARE: MISS CHAIRELINE LUNDI CRNA

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	367500000X	Certified Registered Nurse Anesthetist	RN9239493	FL
2	367500000X	Certified Registered Nurse Anesthetist	744166	NY

General Provider Information

NPI Number	:	1831601525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS CHAIRELINE LUNDI CRNA

Provider Business Mailing Address
First Line	:	7200 NW 22ND ST
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33313-3842
Country	:	US
Telephone Number	:	954-612-5822
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 HIGH ST
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14203-1126
Country	:	US
Telephone Number	:	716-859-5600
Fax Number	:

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

Provider Enumeration Date	:	11/02/2017
Last Update Date	:	01/15/2026

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