Individual
MRS. ABBY LUNDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
394 HARDING PL STE 200, NASHVILLE, TN 37211-3980
(615) 834-4482
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5390
TN
363AS0400X
Surgical Physician Assistant
Primary
PA5390
TN
Other
Enumeration date
01/18/2023
Last updated
09/22/2024
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