Whalio Doctors

NPI 1023212446

Ingrid Lundgren, PAC

Practitioner Medical Physician Assistant Des Moines, IA

Practice location

Address
2100 Dixon St, Des Moines, IA 50316-2174
Phone
(515) 265-1020

Registered specialties (3)

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA13577 (CA)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA10004465 (WA)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA002170 (IA)

Registry record

NPI
1023212446
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Jun 2007
Record last updated
4 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.