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Individual

MARCI KIM LUND

Active
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Individual

MARCI KIM LUND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AU.D., F-AAA, CCC-

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407812365
GROUP NPI - NORTH BEND MEDICAL CENTER
OR
01
—
161133
GROUP DMAP-MEDICAID
OR
01
—
R0000WFBTV
GROUP MEDICARE - NORTH BEND MEDICAL CENTER
OR
Enumeration date
02/06/2007
Last updated
06/18/2012
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