Individual
CLAIRE JANICE LUNDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8260 GLADIOLUS DR, FORT MYERS, FL 33908-4156
(239) 437-5755
(239) 437-5776
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(392) 748-2002
(813) 499-2569
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11013708
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112383800
—
FL
Enumeration date
08/18/2021
Last updated
11/17/2023
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