Individual
CAROL LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2552 ALDRIDGE AVE, COLONIAL HEIGHTS, VA 23834-5306
(804) 526-7990
Mailing address
4025 RIVERPLACE TER, GLEN ALLEN, VA 23059-5656
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002947
VA
Other
Enumeration date
03/02/2009
Last updated
05/19/2009
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