Heidi Lundeen PAC

NPI 1053465765 - Physician Assistant - 363A00000X

NPI Details
NPI 1053465765
Gender Female
Enumeration Date 01/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2520 CHERRY AVE
BREMERTON WA, 98310-4229, US
Phone (360) 377-3911
Fax
Business Location
901 E OLD RANCH RD
ALLYN WA, 98524-7711, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Washington
License Number PA10004723
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According to our database, Heidi Lundeen PAC NPI is 1053465765, taxonomy code is 363A00000X and license number is PA10004723, license state is located at Washington. Heidi Lundeen PAC physically located at 2520 Cherry Ave, Bremerton WA, 98310-4229. NPI Number Heidi Lundeen PAC has the Individual type.

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1053465765 NPI number is provided on an as is basis without warranty of any kind. 1053465765 is maintained by the National Plan & Provider Enumeration System. The contents of Heidi Lundeen PAC are for informational purposes only.