Tashie Renae Lundberg

NPI 1023200144 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1023200144
Gender Female
Enumeration Date 08/13/2007
Last Updated 08/13/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
435 E 5TH ST
LOVELL WY, 82431-1947, US
Phone (307) 548-6722
Fax (307) 548-6700
Business Location
435 E 5TH ST
LOVELL WY, 82431-1947, US
Phone (307) 548-6722
Fax (307) 548-6700
Toxanomy
Taxonomy Code 235Z00000X
License State Wyoming
License Number SP-403
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According to our database, Mrs. Tashie Renae Lundberg NPI is 1023200144, taxonomy code is 235Z00000X and license number is SP-403, license state is located at Wyoming. Tashie Renae Lundberg physically located at 435 E 5th St, Lovell WY, 82431-1947. NPI Number Tashie Renae Lundberg has the Individual type.

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1023200144 NPI number is provided on an as is basis without warranty of any kind. 1023200144 is maintained by the National Plan & Provider Enumeration System. The contents of Tashie Renae Lundberg are for informational purposes only.