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Individual
STEVEN G LUND
Active
Individual
STEVEN G LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1697
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019RL
BCBS GROUP ID
TX
05
—
166329604
—
TX
01
—
5416500
AETNA
TX
01
—
8BG900
BCBS
TX
Enumeration date
07/06/2006
Last updated
04/08/2020
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