Individual
MARY LUNDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3530 E SPAULDING AVE, PUEBLO, CO 81008-2209
(719) 296-9000
(719) 296-9001
Mailing address
3530 E SPAULDING AVE, PUEBLO, CO 81008-2209
(719) 296-9000
(719) 296-9001
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
67638
CO
207XS0117X
Orthopaedic Surgery of the Spine Physician
73026-21
WI
Other
Enumeration date
03/23/2014
Last updated
03/28/2022
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