Provider Demographics
NPI:1477327419
Name:LUND, LAUREN JOY (BA, MA, MA)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:JOY
Last Name:LUND
Suffix:
Gender:F
Credentials:BA, MA, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:363 BALDWIN DR
Mailing Address - Street 2:
Mailing Address - City:BEREA
Mailing Address - State:OH
Mailing Address - Zip Code:44017-2623
Mailing Address - Country:US
Mailing Address - Phone:434-426-6965
Mailing Address - Fax:
Practice Address - Street 1:363 BALDWIN DR
Practice Address - Street 2:
Practice Address - City:BEREA
Practice Address - State:OH
Practice Address - Zip Code:44017-2623
Practice Address - Country:US
Practice Address - Phone:434-426-6965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-09
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide