Individual
MS. LESLIE ELAINE LUNDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, DOM
Contact information
Practice address
325 2ND AVE, GOLD HILL, OR 97525-0772
(541) 855-5508
Mailing address
PO BOX 772, GOLD HILL, OR 97525-0772
(541) 855-5508
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC154828
OR
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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