Provider Demographics
NPI:1467639682
Name:CORNELL, LUNDI ANN (LAC, RN)
Entity type:Individual
Prefix:MRS
First Name:LUNDI
Middle Name:ANN
Last Name:CORNELL
Suffix:
Gender:
Credentials:LAC, RN
Other - Prefix:MS
Other - First Name:LUNDI
Other - Middle Name:ANN
Other - Last Name:MCFARLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7961 ISLAND CT
Mailing Address - Street 2:
Mailing Address - City:STANWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:49346-8920
Mailing Address - Country:US
Mailing Address - Phone:406-850-1009
Mailing Address - Fax:
Practice Address - Street 1:1883 W MONROE RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MI
Practice Address - Zip Code:48880-8702
Practice Address - Country:US
Practice Address - Phone:406-850-1009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-30
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5401000240171100000X, 171100000X
WAAC00003071171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist