Individual
MICHCAEL W LUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RDN, LD
Contact information
Practice address
7303 S GAFFORD BLVD, BROKEN ARROW, OK 74014-2620
(918) 893-2591
Mailing address
7303 S GAFFORD BLVD, BROKEN ARROW, OK 74014-2620
(918) 893-2591
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1648
OK
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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