Lund, Brooke Marie
Lund, Brooke Marie is an individual health care provider with primary practice located at 1936 Parknoll Ln , Port Washington WI 53074-1177. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Lund, Brooke Marie can be contacted via phone (262) 323-2962.Contact Information
Primary practice address
1936 Parknoll Ln
Port Washington WI 53074-1177
Phone: (262) 323-2962
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | NONE | Wisconsin |
Profile Details
| NPI number | 1184292666 |
|---|---|
| LBN Legal business name | Lund, Brooke Marie |
| Credentials | STUDENT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2021 |
| Last updated | Jun 11th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184292666 | NPPES |
| Other | NONE | NONE |
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