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Individual

MATTHEW C LUNDIEN

Active
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Individual

MATTHEW C LUNDIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
2013017410
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1053364281
MO
05
198935001
AR
05
200499740 A
OK
05
201077460A
KS
01
431560263
TRICARE
MO
01
P01208067
RR MCR
MO
Enumeration date
05/18/2006
Last updated
10/15/2013
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