Provider Demographics
NPI:1407209398
Name:LUND, HEIDI (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:
Last Name:LUND
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18921 E LOW DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-3189
Mailing Address - Country:US
Mailing Address - Phone:303-503-3900
Mailing Address - Fax:
Practice Address - Street 1:18921 E LOW DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-3189
Practice Address - Country:US
Practice Address - Phone:303-503-3900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-15
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0018436183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist