Individual
EMILY A LUNDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(800) 528-8989
Mailing address
2247 AUDOBON DR SE, GRAND RAPIDS, MI 49506-4101
(810) 228-5330
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201014151
DEPARTMENT OF LICENSING AFFAIRS
MI
Enumeration date
12/09/2024
Last updated
02/14/2025
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