Individual
JEFFREY LUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W CHURCH ST, LEXINGTON, TN 38351-2038
(731) 968-3646
(731) 968-1870
Mailing address
200 W CHURCH ST, LEXINGTON, TN 38351-2038
(731) 968-3646
(731) 968-1870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD16241
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3888932
—
TN
01
—
P00293589
MEDICARE RRGA
TN
Enumeration date
05/27/2005
Last updated
07/01/2022
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