Individual
DR. SUSAN GENE LUNDGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.M.D.
Contact information
Practice address
4251 S HIGUERA ST, STE 300, SAN LUIS OBISPO, CA 93401-7700
(888) 856-1925
Mailing address
4251 S HIGUERA ST, STE 300, SAN LUIS OBISPO, CA 93401-7700
(888) 856-1925
(888) 856-1925
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND-595
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ND-595
NATUROPATHIC LICENSE
CA
Enumeration date
06/16/2011
Last updated
11/01/2013
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