Provider Demographics
NPI:1144307984
Name:LUNDY, JULIA WELSH (PA-C)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:WELSH
Last Name:LUNDY
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:308 STUDENT HEALTH CENTER
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PEAK
Mailing Address - State:PA
Mailing Address - Zip Code:16802
Mailing Address - Country:US
Mailing Address - Phone:814-863-6747
Mailing Address - Fax:814-863-8464
Practice Address - Street 1:308 STUDENT HEALTH CENTER
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PEAK
Practice Address - State:PA
Practice Address - Zip Code:16802
Practice Address - Country:US
Practice Address - Phone:814-863-6747
Practice Address - Fax:814-863-8464
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2020-04-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA002604-L363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical