Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student Health |
261QS1000X |
| NPI # | 1114241478 |
||||
| LBN Legal business name | PACIFIC LUTHERAN UNIVERSITY | ||||
| Authorized official | AUDRY KAHLSTROM - (ARNP) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/16/2010 | ||||
| Last updated | 03/16/2010 - About 16 years ago | ||||
| Identifiers |
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