Joanne R Lundstrom, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

471 W Terra Cotta Ave
Crystal Lake, IL 60014-3434

Phone

(815) 455-0550

NPI assigned

Aug 16, 2007

Last updated

Aug 16, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1548452139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 ROYAL GLEN DR",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600132493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 W TERRA COTTA AVE",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143434",
            "telephone_number": "815-455-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDSTROM",
        "first_name": "JOANNE",
        "middle_name": "R",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Louise, D.C.
• Madeline S. Lubenow, APN-CRNA
• Catherine Lucaccioni
• Lauren Lucas, MD
• Ludford Dental, P.C. (Rt. 14 Dentistry & Dental Specialists)
• Luxottica of America Inc. (LensCrafters #1448)
• Luxottica Retail North America Inc (Sears Optical #C1134)
• Michael Lyp
• M Raza Khan M D S C
• Cynthia Macdonald, DNP

• Occupational Therapy Assistant in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.