Corrie Jo Lundberg
Corrie Jo Lundberg is a Technician in Prudenville, Michigan. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
100 Ridgewood DrPrudenville, MI 48651-8426
Phone: (616) 600-2052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Technician (primary) | Taxonomy 374700000X |
|---|
Record details
| NPI number | 1588317911 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 26, 2022 |
| Last updated in NPPES | March 8, 2022 |
| Certification date | March 8, 2022 |
| Mailing address | 100 Ridgewood Dr, Prudenville, MI 48651-8426 |