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Individual

LUNDEN LISTON RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
612 WASHINGTON BLVD, BELPRE, OH 45714-2465
(304) 485-8040
(304) 485-4883
Mailing address
PO BOX 9196, MORGANTOWN, WV 26506-9196
(304) 293-1168

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
TP213
KY
207XX0801X
Orthopaedic Trauma Physician
28383
WV
207XX0801X
Orthopaedic Trauma Physician
35.146094
OH
390200000X
Student in an Organized Health Care Education/Training Program
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710330113
WV
Enumeration date
07/20/2016
Last updated
10/31/2022
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