Individual provider · Type 1 NPI

Carolyn Sue Lundgren, C.P.N.P.

Pediatric Nurse Practitioner · Fenton, MO

NPI number 1083728240 Active

About NPI 1083728240

Carolyn Sue Lundgren, C.P.N.P.'s National Provider Identifier is 1083728240, issued on Aug 17, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fenton, MO. The record was last updated on Jul 8, 2007.