Individual
ALEXIS JEAN LUNDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
235 WELLESLEY ST, WESTON, MA 02493-1572
(781) 768-7000
Mailing address
5740 N WOODSON AVE, FRESNO, CA 93711-2259
(559) 288-5763
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
95244233
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95244233
NURSING NUMBER
CA
Enumeration date
10/03/2022
Last updated
10/03/2022
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