Individual
EMILY LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
502 N TOWER AVE STE 4, CENTRALIA, WA 98531-4627
(360) 807-4767
(360) 807-4875
Mailing address
502 N TOWER AVE STE 4, CENTRALIA, WA 98531-4627
(360) 807-4767
(360) 807-4875
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60419808
WA
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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