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Individual

ERIC A. LUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10101 RIDGEGATE PARKWAY, LONE TREE, CO 80124-9810
(720) 225-1900
(303) 306-7753
Mailing address
PO BOX 173862, DENVER, CO 80217-3862
(303) 306-7783
(303) 306-7753

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
42112
CO
207P00000X
Emergency Medicine Physician
Primary
DR.0042112
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
56522827
CO
01
P00098374
RAILROAD MEDICARE
CO
Enumeration date
01/05/2006
Last updated
08/11/2015
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