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Organization
MEAD AVENUE FAMILY PRACTICE, INC.
Active
Organization
MEAD AVENUE FAMILY PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT E LUND M.D. (PRESIDENT)
(814) 664-4542
Entity
Organization
Contact information
Practice address
1086 MEAD AVE, CORRY, PA 16407-8503
(814) 664-4542
(814) 664-4556
Mailing address
1086 MEAD AVE, CORRY, PA 16407-8503
(814) 664-4542
(814) 664-4556
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD050434L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019472820001
—
PA
01
—
DF6619
RAILROAD
PA
Enumeration date
03/02/2007
Last updated
08/22/2007
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