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Lundun Barker

Student in an Organized Health Care Education/Training Program in Orange, CA. Individual provider (NPI-1).

NPI number1548095029
StatusActive
Last updated in NPPESSep 17, 2024

Details

NPI
1548095029
Entity type
Individual (NPI-1)
Name
Mr. Lundun Barker
Sex
Male
Sole proprietor
No
Enumeration date
Sep 4, 2024
Certification date
Sep 17, 2024
Last updated
Sep 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–CAYes

Practice location

4000 W Metropolitan Dr Ste 120
Orange, CA 92868-3504

Phone 714-972-3716

Mailing address

4000 W Metropolitan Dr Ste 120
Orange, CA 92868-3504

Phone 714-972-3716

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