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Individual

DAVID J LUNDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2373 G RD STE 280, GRAND JCT, CO 81505-1006
(970) 243-9340
(970) 241-6894
Mailing address
PO BOX 1727, GRAND JCT, CO 81502-1727
(970) 243-9340
(970) 241-6894

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0052497
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0297163
STATE L&I
WA
01
0300999
STATE L&I
WA
05
65907311
CO
Enumeration date
02/20/2012
Last updated
03/23/2022
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