Individual
MRS. ELISA D LUNDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5550 WYOMING BLVD NE, ALBUQUERQUE, NM 87109
(505) 462-6600
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-01667
NM
Other
Enumeration date
09/27/2010
Last updated
11/06/2019
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