Grace Lundvall, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT008191 Issued in PA

Practice address

801 Ostrum St Ste 1
Bethlehem, PA 18015-1065

Phone

(866) 785-8537

NPI assigned

Nov 14, 2023

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": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1992579536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 S CENTRE ST APT 5",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013535",
            "telephone_number": "717-303-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST STE 1",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151065",
            "telephone_number": "866-785-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDVALL",
        "first_name": "GRACE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT008191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yadhira Lugo Jose, MD
• Luis J Alvarez DDS PC
• Anthony G Luizza, M.D.
• Lukio Health
• Sylva-Gracia B Lumbayi
• Douglas W Lundy, MD
• Charlie Luong, D.O
• Marc Luong
• Frank Joseph Lupin Jr., A.T.C.
• Leslie Anne Lupin, P.T.

• Athletic Trainer in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.