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Organization

EDWARD G. LUNDBLAD, MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWARD G LUNDBLAD MD (PRESIDENT)
(303) 671-8487
Entity
Organization

Contact information

Practice address
579 S. LAREDO CIRCLE, AURORA, CO 80017
(303) 671-8487
(303) 671-5160
Mailing address
579 S. LAREDO CIRCLE, AURORA, CO 80017
(303) 671-8487
(303) 671-5160

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25239
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02152394
CO
Enumeration date
03/03/2008
Last updated
03/03/2008
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