| William S Lundgren Llc | |
|
777 Grand Suite 304 Denver CO 80203 | |
| (303) 329-2928 | |
| (303) 329-2917 |
| Full Name | William S Lundgren Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 777 Grand, Denver, Colorado |
| Authorized Official Name and Position | William S Lundgren (OWNER) |
| Authorized Official Contact | 3033292928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William S Lundgren Llc 1365 Columbine #104 Denver CO 80206 Ph: (303) 329-2928 | William S Lundgren Llc 777 Grand Suite 304 Denver CO 80203 Ph: (303) 329-2928 |
| NPI Number | 1114104163 |
|---|---|
| Provider Enumeration Date | 01/22/2008 |
| Last Update Date | 01/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114104163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3169 (Colorado) | Primary |
| 103T00000X | Psychologist | PS006144L (Pennsylvania) | Secondary |
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