Individual
NICOLE M LUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1700 OAK AVE, MUSKEGON, MI 49442-2407
(231) 672-6430
(231) 672-6256
Mailing address
1675 LEAHY ST, SUITE 315A, MUSKEGON, MI 49442-5500
(231) 727-5250
(231) 727-5248
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101021444
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101021444
MI
Other
Enumeration date
07/02/2014
Last updated
07/21/2022
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