Individual
JOHN EDWARD LUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 EAST HEMLOCK, DEMING, NM 88030
(505) 546-2705
(505) 546-2706
Mailing address
220 EAST HEMLOCK, DEMING, NM 88030
(505) 546-2705
(505) 546-2706
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
83246NM
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0389
BLUE CROSS
NM
01
—
10001972
LOVELACE
NM
01
—
19817
PRESBYTERIAN
NM
05
—
26419
—
NM
Enumeration date
09/27/2006
Last updated
01/23/2009
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