Individual
PHILIP L LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
533 S 336TH ST, STE C, FEDERAL WAY, WA 98003-6329
(253) 661-1700
(253) 661-4565
Mailing address
PO BOX 26730, FEDERAL WAY, WA 98093-3730
(253) 661-1700
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
MD00022974
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00022974
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8127763
—
WA
Enumeration date
07/15/2005
Last updated
01/27/2012
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