Individual
DEKE LUNDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
2702 8TH AVE N, BILLINGS, MT 59101-1107
(406) 238-2500
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1511PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000600008
BCBS PIN
MT
05
—
0345610
—
MT
05
—
115476100
—
WY
Enumeration date
10/23/2006
Last updated
09/23/2009
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