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Contact Information

JAN H LUNDGREN, CCC-SLP
208 MERCER MILL RD
ELIZABETHTOWN, NC28337
 Phone: 910-862-6400
 Fax: 910-247-2413
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for JAN H LUNDGREN · (Female)

NPI Number 1467785253
Status Active
Credentials CCC-SLP (Certificate of Clinical Competance in Speech language pathology)
Entity Individual
Enumeration date 09/10/2009
Last updated 08/17/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 7674
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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