Lundgren, Jessica A
Lundgren, Jessica A is an individual health care provider with primary practice located at 145 Hospital Ave Ste 101 , Du Bois PA 15801-1463. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Lundgren, Jessica A can be contacted via phone (814) 375-4089.Contact Information
Primary practice address
145 Hospital Ave Ste 101
Du Bois PA 15801-1463
Phone: (814) 375-4089
Fax: (814) 375-4067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 0101264541 | Virginia |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | MD474581 | Pennsylvania |
Profile Details
| NPI number | 1588930598 |
|---|---|
| LBN Legal business name | Lundgren, Jessica A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2012 |
| Last updated | Aug 6th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588930598 | NPPES |
| Pennsylvania | Other | MD474581 | MEDICAL LICENSE |
| Pennsylvania | Other | 0101264541 | MEDICAL LICENSE |
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