Individual
DONALD WAYNE LUNDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
919 S CHURCH ST, SMITHFIELD, VA 23430-1715
(757) 365-8028
(757) 356-9451
Mailing address
919 S CHURCH ST, SMITHFIELD, VA 23430-1715
(757) 365-8028
(757) 356-9451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101023326
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
381157
ANTHEM PROVIDER NUMBER
VA
01
—
41003
OPTIMA HEALTH PROVIDER NO
VA
05
—
5663016
—
VA
Enumeration date
12/02/2005
Last updated
07/25/2007
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