Individual
SARA CORNWELL LUNDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1800 MAIN RD, TIVERTON, RI 02878-4625
(401) 625-5552
Mailing address
43 SMITH RD, NEWPORT, RI 02841-1006
(401) 841-3946
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN02422
RI
Other
Enumeration date
03/23/2020
Last updated
09/06/2024
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