Individual
CONOR F LUNDERGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12070 OLD LINE CTR, STE 303, WALDORF, MD 20602
(301) 475-3240
(301) 475-9740
Mailing address
12070 OLD LINE CTR, STE 303, WALDORF, MD 20602
(301) 475-3240
(301) 475-9740
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
29618
NC
207RC0000X
Cardiovascular Disease Physician
Primary
D0034663
MD
207RC0000X
Cardiovascular Disease Physician
MD17986
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
606188-03
BCBS
MD
Enumeration date
11/07/2005
Last updated
07/08/2007
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