Individual
AMANDA ELIZABETH LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 258-5222
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 258-5222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
311872
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
12168
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932779436
—
WI
Enumeration date
06/28/2021
Last updated
10/18/2022
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