Individual
DR. PATRICIA M LUNDEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2001 4TH AVE, SAN DIEGO, CA 92101-2303
(858) 499-2777
Mailing address
2001 4TH AVE, SAN DIEGO, CA 92101-2303
(858) 499-2777
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G56317
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
G56317
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G563170
—
CA
Enumeration date
10/04/2006
Last updated
10/25/2011
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