Daryl B Lundgrin in Brentwood - Anatomic Pathology

Daryl B Lundgrin - NPI 1881682813

Daryl B Lundgrin is a Anatomic Pathology in Brentwood, Tennessee. Daryl B Lundgrin practices all healthcare services and medical treatments related to Anatomic Pathology. The NPI Number for Daryl B Lundgrin is 1881682813. The last update date is 2010-10-28.

Daryl B Lundgrin's current location address is 5301 Virginia Way, Brentwood, Tennessee. You can contact this provider via phone number 6152214474 and fax number 6152343774. The mailing address for Daryl B Lundgrin is 5301 Virginia Way, Brentwood, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Daryl B Lundgrin
Address 5301 Virginia Way, Brentwood, Tennessee
Phone Number 6152214474
Fax Number 6152343774
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1881682813
Provider Enumeration Date 2005-10-13
Last Updated Date 2010-10-28

Provider Mailing Address Detail

Address 5301 Virginia Way
City Brentwood
State Tennessee (TN)
Post Code 370277541
Phone Number 6152214474
Fax Number 6152343774

Provider's Primary Taxonomy Detail

Speciality Anatomic Pathology
Taxonomy 207Zp0101X
Licence No MD25297
Definition:
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100022075 PHP OF TN
3031330 TN BCBS OF TN
264946 BLACK LUNG
TN0101 JOHN DEER
3383335 TN --
89063XK NC --
PAYSUB TRIGON
220018743 RAILROAD MEDICARE
00623235A GA --
1140001 UNITED HEALTHCARE

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FAQs about Daryl B Lundgrin

What is the unique 10-digit identifier code issued to Daryl B Lundgrin by the Centers for Medicare & Medicaid Services?

The Daryl B Lundgrin has been assigned the NPI (National Provider Identifier) 1881682813 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Daryl B Lundgrin?

The Daryl B Lundgrin is situated at 5301 Virginia Way, in the city of Brentwood, state of TN, with the zip code 370277541.

What is Daryl B Lundgrin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Daryl B Lundgrin is Anatomic Pathology, and the taxonomy code that classifies this field of practice is 207Zp0101X.

On what date did the Daryl B Lundgrin receive the assignment of its 1881682813 from the Centers for Medicare & Medicaid Services?

The Daryl B Lundgrin was issued its 1881682813 by the Centers for Medicare & Medicaid Services on 2005-10-13.

When was the information pertaining to Daryl B Lundgrin most recently updated or revised?

The details related to Daryl B Lundgrin, including its address, specialty, and other relevant information, were last updated or revised on 2010-10-28.

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