Individual
AMY LEE LUNDHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT012979
PA
207RR0500X
Rheumatology Physician
Primary
OS016883
PA
Other
Enumeration date
11/17/2009
Last updated
08/27/2014
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