Provider Demographics
NPI:1962256594
Name:LUND FAMILY CENTER, INC.
Entity type:Organization
Organization Name:LUND FAMILY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOCKERBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-861-2564
Mailing Address - Street 1:50 JOY DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-6118
Mailing Address - Country:US
Mailing Address - Phone:802-861-2564
Mailing Address - Fax:
Practice Address - Street 1:50 JOY DR
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-6118
Practice Address - Country:US
Practice Address - Phone:802-861-2564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty