Johanna B. Lund, N.P.
Nurse Practitioner, Family in Petoskey, MI. Individual provider (NPI-1).
NPI number1174534622
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1174534622
- Entity type
- Individual (NPI-1)
- Name
- Johanna B. Lund
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 10, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4704113925 | MI | Yes |
Practice location
560 W Mitchell StSuite 185
Petoskey, MI 49770-2275
Phone 231-487-3390 · Fax 231-487-3578
Mailing address
560 W Mitchell StSuite 185
Petoskey, MI 49770-2275
Phone 231-487-3390 · Fax 231-487-3578
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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