John P Lundeby is a Surgery in Coeur D Alene, Idaho. John P Lundeby practices all healthcare services and medical treatments related to Surgery. The NPI Number for John P Lundeby is 1720190796. The last update date is 2007-07-08.
John P Lundeby's current location address is 608 Northwest Blvd, Coeur D Alene, Idaho. You can contact this provider via phone number 2086644940 and fax number 2086645345. The mailing address for John P Lundeby is 608 Northwest Blvd, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John P Lundeby |
|---|---|
| Address | 608 Northwest Blvd, Coeur D Alene, Idaho |
| Phone Number | 2086644940 |
| Fax Number | 2086645345 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720190796 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 608 Northwest Blvd |
|---|---|
| City | Coeur D Alene |
| State | Idaho (ID) |
| Post Code | 838142174 |
| Phone Number | 2086644940 |
| Fax Number | 2086645345 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | M6914 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807104000 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John P Lundeby by the Centers for Medicare & Medicaid Services?
The John P Lundeby has been issued the NPI (National Provider Identifier) 1720190796 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where John P Lundeby is physically located?
The John P Lundeby is physically situated at the following address: 608 Northwest Blvd, Coeur D Alene, ID, 838142174.
What is the area of specialization for John P Lundeby, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John P Lundeby is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.
On what date did the John P Lundeby receive its 1720190796 assignment from the Centers for Medicare & Medicaid Services?
The John P Lundeby was assigned its 1720190796 by the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date was the information regarding John P Lundeby, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John P Lundeby, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY