Ingrid Lundgren, PA-C

NPI #1023212446 in Des Moines, Iowa

Provider Information

NPI Number: 1023212446
Entity Type: Individual
Name: Ingrid Lundgren, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 11, 2007
Last Updated: Jan 4, 2012

Practice Location

Address: 2100 DIXON ST
City: Des Moines
State: Iowa
ZIP Code: 50316-2174
Phone: (515) 265-1020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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