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General NPI Number Information
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NPI Number | 1073557260
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Entity Type | Individual
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Provider Name | LUCAS ZEBEDIAH LUND D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 5765 GREENBACK LN
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City | SACRAMENTO
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State | CA
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Zip | 95841-2013
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Country | US
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Telephone | 916-887-7955
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Fax | 916-739-3617
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Provider Business Mailing Address
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Address Line | PO BOX 255228
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City | SACRAMENTO
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State | CA
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Zip | 95865-5228
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Country | US
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Telephone |
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Fax | 603-204-5251
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 032.0000428
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 20A23047
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License Number State | CA
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