Individual
DR. MARTIN PETER LUNDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2300 E 17TH ST, SUITE 1157, IDAHO FALLS, ID 83404-6504
(208) 552-3355
Mailing address
2300 E 17TH ST, SUITE 1157, IDAHO FALLS, ID 83404-6504
(208) 552-3355
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100169
ID
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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