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Individual

KRISTI ROSE LUNDGREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGNP-C

Contact information

Practice address
2040 DAN PROCTOR DR STE 210, SAINT MARYS, GA 31558-3801
(912) 576-6434
(912) 576-6487
Mailing address
2040 DAN PROCTOR DR STE 210, SAINT MARYS, GA 31558-3801
(912) 576-6434
(912) 576-6489

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704272346
MI
363L00000X
Nurse Practitioner
Primary
APRN-NP711834
GA

Other

Enumeration date
01/20/2025
Last updated
04/14/2026
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