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Individual

DR. GRANT LUNDIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5841
Mailing address
1305 WALT WHITMAN RD STE 300, MELVILLE, NY 11747-4300

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2017-01866
NC
207L00000X
Anesthesiology Physician
Primary
A85262
CA
207L00000X
Anesthesiology Physician
MD60058186
WA
207L00000X
Anesthesiology Physician
R7527
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8543589
WA
Enumeration date
08/02/2006
Last updated
08/15/2025
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