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Individual

MS. KRISTINA MARIE LUNDQUIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
305 OLDHAM RD, PREAKNESS HEALTH CARE, WAYNE, NJ 07470-2208
(973) 904-5000
Mailing address
18 PHILLIPS RD, HEWITT, NJ 07421-3223
(973) 657-0675

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NN71040
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7565003
NJ
Enumeration date
05/14/2007
Last updated
07/08/2007
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