Provider Demographics
NPI:1114592789
Name:LUNDY, JAMIE ATONDO (GENETIC COUNSELOR MS)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:ATONDO
Last Name:LUNDY
Suffix:
Gender:F
Credentials:GENETIC COUNSELOR MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 WESNER LN # MC24-80
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17821-8023
Mailing Address - Country:US
Mailing Address - Phone:570-214-2637
Mailing Address - Fax:570-214-7342
Practice Address - Street 1:15 WESNER LN # MC24-80
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17821-8023
Practice Address - Country:US
Practice Address - Phone:570-214-2637
Practice Address - Fax:570-214-7342
Is Sole Proprietor?:No
Enumeration Date:2021-05-25
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
170300000X
PAGC000708170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS