Individual
AMY LUNDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2313 N ROCKTON AVE, ROCKFORD, IL 61103-3618
(815) 964-2200
Mailing address
2313 N ROCKTON AVE, ROCKFORD, IL 61103-3618
(815) 964-2200
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
041403409
IL
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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