Individual
MS. MARY LOUISE LUNDY
Active
Individual
MS. MARY LOUISE LUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED NURSE
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
000233
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC0052
—
AK
05
—
RL0052
—
AK
Enumeration date
05/02/2007
Last updated
11/27/2009
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