Individual
SUSAN MAE LUNDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2400 INDUSTRIAL PKWY, MIAMI, OK 74354-2212
(920) 215-1887
Mailing address
2400 INDUSTRIAL PKWY, MIAMI, OK 74354-2212
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2019015269
MO
363LF0000X
Family Nurse Practitioner
Primary
218196
OK
363LF0000X
Family Nurse Practitioner
AP128187
TX
Other
Enumeration date
05/28/2015
Last updated
08/21/2024
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