Individual
JEAN A LUNDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
620 N 8TH ST, OSAGE, IA 50461-1456
(641) 732-6100
(641) 732-6108
Mailing address
621 S ILLINOIS AVE, SUITE 103, MASON CITY, IA 50401-5489
(641) 494-3041
(641) 494-3059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000869
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3063842
—
IA
01
—
49805
WELLMARK
IA
Enumeration date
09/29/2006
Last updated
06/24/2008
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