Provider Demographics
NPI:1639349913
Name:LUNDY, APRIL ROBERSON (DC)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:ROBERSON
Last Name:LUNDY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1241 CANTON ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-4396
Mailing Address - Country:US
Mailing Address - Phone:770-289-6313
Mailing Address - Fax:888-477-9416
Practice Address - Street 1:1241 CANTON ST
Practice Address - Street 2:SUITE 100
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-4396
Practice Address - Country:US
Practice Address - Phone:770-289-6313
Practice Address - Fax:888-477-9416
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008314111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor