Individual
ALEISHA ANN LUNDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4216 BALLOON PARK RD NE, ALBUQUERQUE, NM 87109-5801
(505) 344-5470
(505) 344-9343
Mailing address
1109 ASH ST, GRANTS, NM 87020-3001
(505) 287-2190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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