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Individual

DR. JAMES ROBERT LUNDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
320 E HIGHWAY 50, O FALLON, IL 62269-2704
(618) 624-3368
Mailing address
343 DENNISON DR, O FALLON, IL 62269-3527
(618) 628-1325

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17859
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00126879
MS
Enumeration date
05/27/2006
Last updated
11/19/2009
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