Edward Gorman Lundblad in Aurora - Specialist

Edward Gorman Lundblad - NPI 1952411191

Edward Gorman Lundblad is a Specialist in Aurora, Colorado. Edward Gorman Lundblad practices all healthcare services and medical treatments related to Specialist. The NPI Number for Edward Gorman Lundblad is 1952411191. The last update date is 2018-06-20.

Edward Gorman Lundblad's current location address is 579 S Laredo Cir, Aurora, Colorado. You can contact this provider via phone number 3036718487 and fax number 3036715160. The mailing address for Edward Gorman Lundblad is 579 S Laredo Cir, Aurora, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward Gorman Lundblad
Address 579 S Laredo Cir, Aurora, Colorado
Phone Number 3036718487
Fax Number 3036715160
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1952411191
Provider Enumeration Date 2006-08-30
Last Updated Date 2018-06-20

Provider Mailing Address Detail

Address 579 S Laredo Cir
City Aurora
State Colorado (CO)
Post Code 800172103
Phone Number 3036718487
Fax Number 3036715160

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 25239
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1252394 CO --

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FAQs about Edward Gorman Lundblad

What is the Edward Gorman Lundblad's unique identification number?

The Edward Gorman Lundblad has been assigned the NPI (National Provider Identifier) Number 1952411191 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Edward Gorman Lundblad's facilities are geographically located?

The facilities of Edward Gorman Lundblad are physically situated at the following location: 579 S Laredo Cir, Aurora, CO, 800172103.

What is Edward Gorman Lundblad's specialized field of practice, and what is the corresponding taxonomy classification code?

The Edward Gorman Lundblad's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date was the 1952411191 assigned to Edward Gorman Lundblad?

The Edward Gorman Lundblad was issued its 1952411191 on 2006-08-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Edward Gorman Lundblad last refreshed?

The information related to the Edward Gorman Lundblad, including its address, specialty, and other relevant details, was last updated on 2018-06-20.

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