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Courtney Susan Lundin

Student in an Organized Health Care Education/Training Program

Student, Health Care

13001 E. 17th Place, University Of Colorado Denver School Of Medicine Gme, Aurora, CO 80045

PECOS Enrollment

This provider is enrolled in PECOS as COURTNEY LUNDIN.

Based on the most recent information from CMS, provider Courtney Susan Lundin is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 8:47 AM.

Profile Details

Provider ID
1508123076
Provider Type
Individual
Full Name
Lundin, Courtney Susan
Credential
D.M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
4/20/2012
Last Updated
4/20/2012

Contact Information

Practice Location

13001 E. 17th Place, University Of Colorado Denver School Of Medicine Gme, Aurora, CO 80045

(303) 724-6031

Unlisted Fax

Mailing Location

13001 E 17th Pl., University Of Colorado Denver School Of Medicine Gme, Aurora, CO 80045

(303) 724-6031

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Courtney Susan Lundin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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