Individual
MELISSA LYNN LUNDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1375 E 19TH AVE, DENVER, CO 80218-1114
(303) 812-2000
Mailing address
18134 E AMHERST DR, AURORA, CO 80013-6177
(303) 903-3748
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0196430
CO
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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