Individual
GARY KARL LUNDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 WAKE ROBIN RD, LINCOLN, RI 02865-4241
(401) 333-8090
Mailing address
2 WAKE ROBIN RD, LINCOLN, RI 02865-4241
(401) 333-8090
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
07171
RI
Other
Enumeration date
01/19/2006
Last updated
10/19/2007
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