Individual
LACY L LUNDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MIDWIFE
Contact information
Practice address
300 N 4TH AVE E STE 200, NEWTON, IA 50208-3122
(641) 792-2112
(641) 792-8484
Mailing address
300 N 4TH AVE E STE 200, NEWTON, IA 50208-3122
(641) 792-2112
(641) 792-8484
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
B131737
IA
Other
Enumeration date
07/01/2013
Last updated
04/10/2015
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