Individual
MS. NATASHA DENISE LUNDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
836 E MAIN ST, MEDFORD, OR 97504-7115
(541) 773-9324
Mailing address
2234 SISKIYOU BLVD, APT 33, ASHLAND, OR 97520-3714
(541) 200-5588
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12721
OR
Other
Enumeration date
02/07/2007
Last updated
12/28/2013
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