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TRISTAN ANN LUNDE PA-C
>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1639572837
Individual Registrant: TRISTAN ANN LUNDE PA-C
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
119 W PENNSYLVANIA AVE BESSEMER CITY, NC 28016-2635 US
Tel: 704-629-3465 Fax: 704-629-1355
Tel: 704-629-3465 Fax: 704-629-1355
Contact information for business:
200 E 2ND AVE GASTONIA, NC 28052-4358 US
Tel: 704-874-1904 Fax: 704-874-0707
Tel: 704-874-1904 Fax: 704-874-0707
Registration Information:
NPI: 1639572837
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | NC | 0010-05251 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
