Lundorf, Jacob Edward

Lundorf, Jacob Edward is an individual health care provider with primary practice located at 2100 S Liberty Dr Ste B , Bloomington IN 47403. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Lundorf, Jacob Edward can be contacted via phone (812) 336-5723.

Contact Information

Primary practice address
2100 S Liberty Dr Ste B Bloomington IN 47403
Phone: (812) 336-5723
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71009487A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71009487B Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5010695 North Carolina

Profile Details

NPI number 1598251175
LBN Legal business name Lundorf, Jacob Edward
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2018
Last updated Dec 29th, 2025 - about last year

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.

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