Individual
DR. JANELL E LUNDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2602 VICTORY PKWY, CINCINNATI, OH 45206-1711
(513) 384-1344
Mailing address
PO BOX 19176, CINCINNATI, OH 45219-0176
(513) 384-1344
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
248136
NY
207Q00000X
Family Medicine Physician
35.086059
OH
2084F0202X
Forensic Psychiatry Physician
248136
NY
2084F0202X
Forensic Psychiatry Physician
35.86059
OH
2084P0800X
Psychiatry Physician
248136
NY
2084P0800X
Psychiatry Physician
Primary
35.086059
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2582067
—
OH
01
—
LU4178702
MEDICARE PTAN
OH
Enumeration date
07/11/2006
Last updated
11/01/2011
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