Individual
ALSTON C LUNDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
460 SAINT MICHAELS DR, STE. 801, SANTA FE, NM 87505-7619
(505) 986-0910
(505) 986-0904
Mailing address
460 ST. MICHAEL'S DR., STE. 801, SANTA FE, NM 87505
(505) 986-0910
(505) 986-0904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
98-323
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76885
—
NM
Enumeration date
07/07/2006
Last updated
07/09/2007
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