# MATTHEW J. LUNDEBERG, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679717870
- **Authorized official:** MATTHEW LUNDEBERG DC (PRESIDENT)
- **Authorized official phone:** (513) 271-1233

## Contact information

- **Practice address:** 7687 BEECHMONT AVE, CINCINNATI, OH 45255-4216
- **Practice address phone:** (513) 232-9040
- **Practice address fax:** (513) 232-9376
- **Mailing address:** 7687 BEECHMONT AVE, CINCINNATI, OH 45255-4216
- **Mailing address phone:** (513) 232-9040
- **Mailing address fax:** (513) 232-9376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1781 | OH | Yes |

## Other

- **Enumeration date:** 05/01/2009
- **Last updated:** 05/01/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000386554 | ANTHEM BC/BS | OH |
