MEDICARE: KATRINA A LUND MD

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	363LA2100X	Acute Care Nurse Practitioner	624918	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	624918	OTHER	TX	RN LIC NUMBER

General Provider Information

NPI Number	:	1942425434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATRINA A LUND MD

Provider Business Mailing Address
First Line	:	7200 N STATE HWY 161
Second Line	:	SUITE 220
City	:	IRVING
State	:	TX
Zip	:	75039-3830
Country	:	US
Telephone Number	:	214-689-7806
Fax Number	:	214-689-5970

Provider Business Practice Location Address
First Line	:	7200 N STATE HWY 161
Second Line	:	SUITE 220
City	:	IRVING
State	:	TX
Zip	:	75039-3830
Country	:	US
Telephone Number	:	214-689-7806
Fax Number	:	214-689-5970

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

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	10/02/2012

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Directions to “ KATRINA A LUND MD” Practice Location

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