Individual
ALISHA LUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1422 1ST AVE E, NEWTON, IA 50208-4005
(641) 787-9133
(641) 787-9135
Mailing address
1680 HWY. 1, SUITE 3600, FAIRFIELD, IA 52556-9114
(641) 472-1684
(641) 472-4609
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
007280
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174520084
MBC OF IOWA
IA
Enumeration date
11/01/2012
Last updated
11/01/2012
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