Individual
MARINA LUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-6654
Mailing address
105 SCARBOROUGH FARE, BERLIN, CT 06037-3261
(516) 734-1338
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
122222
CT
Other
Enumeration date
11/19/2016
Last updated
10/31/2023
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