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Individual

DR. RANDY ROY LUNDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
954 N 200 E STE 954, SPANISH FORK, UT 84660-1247
(801) 504-6117
(801) 504-6328
Mailing address
468 S MAIN ST, SPANISH FORK, UT 84660-2410
(801) 504-6117

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5807043-1204
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5807043-1204
MEDICAL LISC. #
UT
Enumeration date
10/13/2006
Last updated
09/29/2021
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