Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANNIE MAE LUNDGREN
Active Sole ProprietorTransportation Broker · ROCKFORD, IL
Registration Details
- NPI Number
- 1679171433
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 14, 2020 (5.5201459088001 yrs)
- Last Updated
- Oct 14, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
7110 FOREST GLEN DR APT FROCKFORD, IL, 611148033Browse IL providers · Browse ZIP 61114
- Phone
- 4149370454
- Primary Specialty
-
Transportation Broker
347E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.