Ms. Brooke Marie Lund
Family Doctor - Sports Medicine
1936 Parknoll Ln
Port Washington
, Wisconsin 53074-1177
Ms. Brooke Marie Lund
Family Doctor - Sports Medicine
1936 Parknoll Ln
Port Washington
, Wisconsin 53074-1177
(262) 323-2962
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Ms. Brooke Marie Lund
- 1936 Parknoll Ln
- Port Washington, WI
- Zip : 53074-1177
- Phone : (262) 323-2962
Second Address
- Ms. Brooke Marie Lund
- 1936 Parknoll Ln
- Port Washington, WI
- Zip : 53074-1177
- Phone : (262) 323-2962
Reviews
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Is Ms. Brooke Marie Lund a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | NONE | WI |
National Provider Identifier
| NPI | 1184292666 |
|---|---|
| Provider Name | Ms. Brooke Marie Lund |
| First Address | Port Washington, WI 53074-1177 |
| Second Address | Port Washington, WI 53074-1177 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/06/2021 |
| Last Update Date | 11/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| NONE | NONE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.