Individual
DR. MARK EDWIN LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., FCCP
Contact information
Practice address
1331 E WYOMING AVE, PHILADELPHIA, PA 19124-3808
(215) 537-7400
(215) 537-7193
Mailing address
1331 E WYOMING AVE, PHILADELPHIA, PA 19124-3808
(215) 537-7400
(215) 537-7193
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
016166
ME
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD068904L
PA
207RP1001X
Pulmonary Disease Physician
016166
ME
207RP1001X
Pulmonary Disease Physician
Primary
MD068904L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060487
ANTHEM
ME
01
—
3180515
AETNA HMO
ME
01
—
7006447
AETNA NON HMO
ME
Enumeration date
06/30/2006
Last updated
09/20/2010
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