LISA CHRISTINE LUNDGREN LADC/MH #956 NPI 1801013651

NPI Information

NPI: 1801013651
Provider Name: LISA CHRISTINE LUNDGREN, LADC/MH #956
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3115 E. ARLINGTON BLVD.
HEALTHY LIFESTYLES
ADA, OK
ZIP 74820
Phone: (580) 332-6345
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Lisa Christine Lundgren, LADC/MH #956 is an addiction (substance use disorder) counselor in Ada, OK. Lisa Christine Lundgren, LADC/MH #956 NPI is 1801013651. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3115 E. ARLINGTON BLVD.
HEALTHY LIFESTYLES
ADA, OK
ZIP 74820
Phone: (580) 332-6345
Fax: (580) 421-7724

The enumeration date for this NPI number is 4/20/2007 and was last updated on 9/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YM0800X	Counselor	Mental Health	956	OKLAHOMA	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	956	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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