Jack T Lund in La Crosse - Anesthesiologist Assistant
Jack T Lund - NPI 1710028600
Jack T Lund is a Anesthesiologist Assistant in La Crosse, Wisconsin. Jack T Lund practices all healthcare services and medical treatments related to Anesthesiologist Assistant. The NPI Number for Jack T Lund is 1710028600. The last update date is 2013-04-25.
Jack T Lund's current location address is 1836 South Ave, La Crosse, Wisconsin. You can contact this provider via phone number 6087827300. The mailing address for Jack T Lund is 1836 South Ave, La Crosse, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack T Lund |
|---|---|
| Address | 1836 South Ave, La Crosse, Wisconsin |
| Phone Number | 6087827300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | AA-C |
NPI Number Detail
| NPI Number | 1710028600 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2013-04-25 |
Provider Mailing Address Detail
| Address | 1836 South Ave |
|---|---|
| City | La Crosse |
| State | Wisconsin (WI) |
| Post Code | 546015429 |
| Phone Number | 6087827300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiologist Assistant |
|---|---|
| Taxonomy | 367H00000X |
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Definition: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesth |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jack T Lund?
The Jack T Lund has been issued the NPI (National Provider Identifier) 1710028600 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Jack T Lund's physical address?
The Jack T Lund is physically located at 1836 South Ave, in the city of La Crosse, WI, with the postal code 546015429.
What is Jack T Lund's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jack T Lund's area of specialization is Anesthesiologist Assistant, and the corresponding taxonomy code that categorizes this field of practice is 367H00000X.
On what date was the 1710028600 assigned to Jack T Lund?
The Jack T Lund was issued its 1710028600 on 2007-02-12, 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 Jack T Lund last refreshed?
The information related to the Jack T Lund, including its address, specialty, and other relevant details, was last updated on 2013-04-25.