Individual
DR. PETER WILLIAM LUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 MEDICAL CENTER BLVD STE S860, MARRERO, LA 70072-3136
(504) 349-6860
(504) 349-6865
Mailing address
1111 MEDICAL CENTER BLVD STE S860, MARRERO, LA 70072-3136
(504) 349-6860
(504) 349-6865
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
310253
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103320820
—
LA
Enumeration date
04/07/2011
Last updated
10/21/2019
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