Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2014018162 | MO |
N | 208000000X | Pediatrician | 51517 | KY |
Y | 2080P0204X | Pediatric Emergency Doctor | 51517 | KY |
NPI | 1023435070 |
---|---|
Provider Name | Robin Lund |
First Address | Louisville, KY 40201-0909 |
Second Address | Louisville, KY 40202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2014 |
Last Update Date | 15/08/2018 |