Provider Demographics
NPI:1578843793
Name:LUND, KRISTA SENNESS (DO)
Entity Type:Individual
Prefix:DR
First Name:KRISTA
Middle Name:SENNESS
Last Name:LUND
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:795 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91766-2007
Mailing Address - Country:US
Mailing Address - Phone:909-865-2565
Mailing Address - Fax:909-865-2955
Practice Address - Street 1:795 E 2ND ST
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91766-2007
Practice Address - Country:US
Practice Address - Phone:909-865-2565
Practice Address - Fax:909-865-2955
Is Sole Proprietor?:No
Enumeration Date:2011-08-18
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A10616207Q00000X, 204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine