Provider Demographics
NPI:1467539668
Name:LUNDE, PAULA SUE (MPH, CDE)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:SUE
Last Name:LUNDE
Suffix:
Gender:F
Credentials:MPH, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2212 E 4TH ST
Mailing Address - Street 2:#301
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3870
Mailing Address - Country:US
Mailing Address - Phone:714-628-3242
Mailing Address - Fax:714-744-0136
Practice Address - Street 1:2501 E CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92869-3204
Practice Address - Country:US
Practice Address - Phone:714-628-3242
Practice Address - Fax:714-744-0136
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator