Individual
DR. EDWARD GORMAN LUNDBLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
579 S LAREDO CIR, AURORA, CO 80017-2103
(303) 671-8487
(303) 671-5160
Mailing address
579 S LAREDO CIR, AURORA, CO 80017-2103
(303) 671-8487
(303) 671-5160
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25239
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01252394
—
CO
Enumeration date
08/30/2006
Last updated
06/20/2018
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