Organization
BRUCE LUNDIN OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE L LUNDIN OD (OPTOMETRIST)
(435) 753-3906
Entity
Organization
Contact information
Practice address
1550 N MAIN ST, NORTH LOGAN, UT 84341-1918
(435) 753-3906
Mailing address
1550 N MAIN ST, NORTH LOGAN, UT 84341-1918
(435) 753-3906
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
279166-9934
UT
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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