Individual
JACOB EDWARD LUNDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2100 S LIBERTY DR STE B, BLOOMINGTON, IN 47403
(812) 336-5723
Mailing address
706 W KIRKWOOD AVE, BLOOMINGTON, IN 47404-5046
(574) 850-2069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5010695
NC
363L00000X
Nurse Practitioner
Primary
71009487B
IN
363LG0600X
Gerontology Nurse Practitioner
71009487A
IN
Other
Enumeration date
07/06/2018
Last updated
12/29/2025
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