Individual
JACK C LUNDERMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7901 SCHATZ POINTE DR, SUITE A, DAYTON, OH 45459-3856
(937) 438-9841
(937) 438-9851
Mailing address
7901 SCHATZ POINTE DR, SUITE A, DAYTON, OH 45459-3856
(937) 438-9841
(937) 438-9851
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-052430
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0720689
—
OH
Enumeration date
09/26/2006
Last updated
04/06/2022
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