Organization
LOIS J. LUNDERMAN, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS JOHNSON LUNDERMAN D.D.S. (DENTIST)
(850) 678-2012
Entity
Organization
Contact information
Practice address
395 VALPARAISO PKWY, VALPARAISO, FL 32580-1203
(850) 678-2012
(850) 678-1453
Mailing address
395 VALPARAISO PKWY, VALPARAISO, FL 32580-1203
(850) 678-2012
(850) 678-1453
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13619
FL
Other
Enumeration date
08/08/2006
Last updated
08/22/2020
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