Individual
DR. RICK G LUNDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
180 MICHIGAN AVE., OROFINO, ID 83544-9066
(208) 476-4814
(208) 476-3921
Mailing address
PO BOX 147, OROFINO, ID 83544-0147
(208) 476-4814
(208) 476-3921
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-729
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002600100
—
ID
Enumeration date
09/21/2005
Last updated
06/29/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us