Individual
MRS. TAMARA DAWN LUNDGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
12224 S RENE ST, OLATHE, KS 66062-4914
(913) 486-9197
Mailing address
12224 S RENE ST, OLATHE, KS 66062-4914
(913) 486-9197
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2104
KS
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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