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Individual

JOSHUA ERIC LUNDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, FAAFP

Contact information

Practice address
1401 E CENTRAL DR, MERIDIAN, ID 83642-8046
(208) 795-4357
Mailing address
1401 E CENTRAL DR, MERIDIAN, ID 83642-8046
(208) 795-4357

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
50570
TN
207Q00000X
Family Medicine Physician
Primary
M-12685
ID
207Q00000X
Family Medicine Physician
Q2335
TX

Other

Enumeration date
06/08/2011
Last updated
08/08/2019
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