Lundgren, Lisa Christine

Lundgren, Lisa Christine is an individual health care provider with primary practice located at 3115 E. Arlington Blvd. Healthy Lifestyles, Ada OK 74820. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Lundgren, Lisa Christine can be contacted via phone (580) 332-6345.

Contact Information

Primary practice address
3115 E. Arlington Blvd. Healthy Lifestyles Ada OK 74820
Phone: (580) 332-6345
Fax: (580) 421-7724
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 956 Oklahoma
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 956 Oklahoma

Profile Details

NPI number 1801013651
LBN Legal business name Lundgren, Lisa Christine
Credentials LADC/MH #956
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Sep 19th, 2018 - about 6 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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