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Individual

GREG O LUND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2490 S WOODWORTH LOOP 401, PALMER, AK 99645
(907) 745-9300
(907) 745-9301
Mailing address
2490 S WOODWORTH LOOP 401, PALMER, AK 99645
(907) 745-9300
(907) 745-9301

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
3376
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD1035
AK
Enumeration date
07/22/2005
Last updated
03/24/2008
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