Lund, Terese J

Lund, Terese J is an individual health care provider with primary practice located at 413 S 21St St , Laramie WY 82070-4323. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lund, Terese J can be contacted via phone (307) 745-5364.

Contact Information

Primary practice address
413 S 21St St Laramie WY 82070-4323
Phone: (307) 745-5364
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10010.189 Wyoming

Profile Details

NPI number 1588665202
LBN Legal business name Lund, Terese J
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Mar 16th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588665202 NPPES
Wyoming MEDICAID 1130731-00

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