Individual
DR. PAULA A LUNDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2102 TRINITY OAKS BLVD # 205, TRINITY, FL 34655-4409
(727) 462-2131
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 532-1355
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2012-01374
NC
208600000X
Surgery Physician
MD067425L
PA
208600000X
Surgery Physician
ME147205
FL
2086X0206X
Surgical Oncology Physician
Primary
ME147205
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017520280003
—
PA
01
—
020051708
RAILROAD MEDICARE
PA
05
—
109276100
—
FL
05
—
5921261
—
NC
Enumeration date
09/22/2005
Last updated
09/17/2024
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