Organization
MATTHEW J. LUNDEBERG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LUNDEBERG DC (PRESIDENT)
(513) 271-1233
Entity
Organization
Contact information
Practice address
7687 BEECHMONT AVE, CINCINNATI, OH 45255-4216
(513) 232-9040
(513) 232-9376
Mailing address
7687 BEECHMONT AVE, CINCINNATI, OH 45255-4216
(513) 232-9040
(513) 232-9376
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1781
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000386554
ANTHEM BC/BS
OH
Enumeration date
05/01/2009
Last updated
05/01/2009
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