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Individual

JENNIFER JOAN LUNDBERG

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4875 MILLS CIVIC PKWY, WEST DES MOINES, IA 50265-5268
(515) 440-6700
(515) 440-6715
Mailing address
15931 HAMMONTREE DR, URBANDALE, IA 50323-2260
(515) 987-1428

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03717
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38977
BLUE CROSS
IA
Enumeration date
01/18/2006
Last updated
07/08/2007
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