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Individual

MS. SARAH LUNDEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9200 W WISCONSIN AVE, COLORECTAL SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5783
(414) 454-0152
Mailing address
9200 W WISCONSIN AVE, COLORECTAL SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5783
(414) 454-0152

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
127163-030
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006000261C
HUMANA
05
1811941917
WI
Enumeration date
05/22/2006
Last updated
02/07/2013
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