Individual
SHAWN SCOTT LUNDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
132 MAIN ST., SUITE B, BAINBRIDGE, OH 45612
(740) 703-6368
Mailing address
132 MAIN ST., SUITE B, BAINBRIDGE, OH 45612
(740) 703-6368
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2549
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000341145
ANTHEM
OH
05
—
2042015
—
OH
Enumeration date
11/08/2006
Last updated
03/25/2011
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