Individual
JILL ELIZABETH LUNDGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 W HORIZON RIDGE PKWY STE 160, HENDERSON, NV 89012-3503
(702) 566-8266
Mailing address
1510 W HORIZON RIDGE PKWY STE 160, HENDERSON, NV 89012-3503
(702) 566-8266
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1692
NV
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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