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Individual

DR. LORI A LUNDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
1014 OSWEGATCHIE TRAIL RD, STAR LAKE, NY 13690-3143
(315) 848-5404
(315) 848-3285
Mailing address
325 LARK ST, ALBANY, NY 12208-3501
(518) 542-0582

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005411-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01894393
NY
Enumeration date
07/08/2005
Last updated
03/27/2025
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