Organization
ALSTON C LUNDGREN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALSTON CLEMENS LUNDGREN MD (PRESIDENT)
(505) 986-0910
Entity
Organization
Contact information
Practice address
460 SAINT MICHAELS DR, STE 801, SANTA FE, NM 87505-7619
(505) 986-0910
(505) 986-0904
Mailing address
460 SAINT MICHAELS DR, STE 801, SANTA FE, NM 87505-7619
(505) 986-0910
(505) 986-0904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
98-323
NM
Other
Enumeration date
07/12/2007
Last updated
07/19/2007
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