Individual
DARYL B LUNDGRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 VIRGINIA WAY, SUITE 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774
Mailing address
5301 VIRGINIA WAY, SUITE 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
MD25297
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
43153
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00623235A
—
GA
01
—
100022075
PHP OF TN
—
01
—
1140001
UNITED HEALTHCARE
—
01
—
220018743
RAILROAD MEDICARE
—
01
—
264946
BLACK LUNG
—
01
—
3031330
BCBS OF TN
TN
05
—
3383335
—
TN
05
—
89063XK
—
NC
01
—
PAYSUB
TRIGON
—
01
—
TN0101
JOHN DEER
—
Enumeration date
10/13/2005
Last updated
10/28/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us