Individual
BENJAMIN J LUNDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5044 TENNYSON PKWY STE B, PLANO, TX 75024-2953
(972) 378-4104
(972) 378-9094
Mailing address
5044 TENNYSON PKWY STE B, PLANO, TX 75024-2953
(972) 378-4104
(972) 378-9094
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2739
OK
152W00000X
Optometrist
Primary
8605TG
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/25/2012
Last updated
06/19/2019
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