Provider Demographics
NPI:1376819805
Name:LUNDELL, STEFANIE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:STEFANIE
Middle Name:
Last Name:LUNDELL
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:STEFANIE
Other - Middle Name:MICHELLE
Other - Last Name:ALPERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1099 S PANTANO RD UNIT 18065
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85731-5246
Mailing Address - Country:US
Mailing Address - Phone:520-490-9046
Mailing Address - Fax:
Practice Address - Street 1:1601 N TUCSON BLVD STE 40
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-3410
Practice Address - Country:US
Practice Address - Phone:520-488-4808
Practice Address - Fax:520-476-3625
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-29
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA446082083X0100X
NV86982083X0100X
AZ215482083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine