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1386953263
ELISA D LUNDIN
ALBUQUERQUE, NM
NPI
1386953263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM CNP-01667)
Enumeration Date
2010-09-27
Last Update Date
2019-11-06
Business Address
Mrs. ELISA D LUNDIN FNP-BC
5550 WYOMING BLVD NE
ALBUQUERQUE, NM 87109
Phone number: 505-462-6600
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Mailing Address
Mrs. ELISA D LUNDIN FNP-BC
PO BOX 26666 PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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