Individual
PETER LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1750 THOMPSON RD, COOS BAY, OR 97420-2100
(541) 269-0333
Mailing address
1750 THOMPSON RD, COOS BAY, OR 97420-2100
(541) 269-0333
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD25489
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006471
—
OR
Enumeration date
08/20/2006
Last updated
07/08/2007
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