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TRISTAN ANN LUNDE PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1639572837

Individual Registrant:
 TRISTAN ANN LUNDE PA-C
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

Contact information for business:
200 E 2ND AVE  GASTONIA, NC 28052-4358 US
Tel: 704-874-1904  Fax: 704-874-0707

Registration Information:
NPI: 1639572837
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
NC0010-05251

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS NC - Page 1



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