Individual
RUTH E. LUNDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5 NEPONSET ST, WORCESTER, MA 01606-2714
(508) 425-5880
(508) 595-2122
Mailing address
5 NEPONSET ST FL STREET12, WORCESTER, MA 01606-2714
(508) 425-5880
(508) 595-2122
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
86596
MA
Other
Enumeration date
01/07/2009
Last updated
09/26/2018
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