# DR. MICHELLE DIANE LUNDHOLM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1639560394
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036.152885 | IL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 35.141343 | OH | Yes |

## Other

- **Enumeration date:** 02/16/2015
- **Last updated:** 08/30/2023