Larry C Lundin is a Dentist in Lake Havasu City, Arizona. Larry C Lundin practices all healthcare services and medical treatments related to Dentist. The NPI Number for Larry C Lundin is 1316163678. The last update date is 2015-03-09.
Larry C Lundin's current location address is 1741 Mesquite Ave, Lake Havasu City, Arizona. You can contact this provider via phone number 9288550556 and fax number 9288552684. The mailing address for Larry C Lundin is 1741 Mesquite Ave, Lake Havasu City, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry C Lundin |
|---|---|
| Address | 1741 Mesquite Ave, Lake Havasu City, Arizona |
| Phone Number | 9288550556 |
| Fax Number | 9288552684 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1316163678 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2015-03-09 |
Provider Mailing Address Detail
| Address | 1741 Mesquite Ave |
|---|---|
| City | Lake Havasu City |
| State | Arizona (AZ) |
| Post Code | 86403 |
| Phone Number | 9288550556 |
| Fax Number | 9288552684 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3730 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Larry C Lundin by the Centers for Medicare & Medicaid Services?
The Larry C Lundin has been issued the NPI (National Provider Identifier) 1316163678. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Larry C Lundin located?
The Larry C Lundin is located at 1741 Mesquite Ave, Lake Havasu City, AZ 86403.
What is Larry C Lundin's specialized field of practice, and what is the corresponding taxonomy classification code?
The Larry C Lundin's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Larry C Lundin receive its 1316163678 assignment from the Centers for Medicare & Medicaid Services?
The Larry C Lundin was assigned its 1316163678 by the Centers for Medicare & Medicaid Services on 2007-04-17.
As of what date were the details pertaining to Larry C Lundin last refreshed?
The information related to the Larry C Lundin, including its address, specialty, and other relevant details, was last updated on 2015-03-09.