Provider Demographics
NPI:1740672245
Name:LUND, KRISTIN ANN I (RDH)
Entity type:Individual
Prefix:MISS
First Name:KRISTIN
Middle Name:ANN
Last Name:LUND
Suffix:I
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 SOUTH PEORIA STREET, UNIT C
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014
Mailing Address - Country:US
Mailing Address - Phone:303-751-3321
Mailing Address - Fax:
Practice Address - Street 1:7120 E COUNTY LINE RD STE 203
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-3938
Practice Address - Country:US
Practice Address - Phone:720-741-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-21
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2467124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist