Individual
KALLE ELLEN LUNDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1075 CAMINO DEL RIO S, SAN DIEGO, CA 92108-3538
(619) 855-6444
Mailing address
1075 CAMINO DEL RIO S, SAN DIEGO, CA 92108-3538
(619) 855-6444
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
22592
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22592
BRN
CA
01
—
675150
BRN
CA
Enumeration date
02/12/2013
Last updated
02/11/2022
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