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NPI Code Detail

MEDICARE: DR. C ERIC LINDBORG MD

MEDICARE: DR. C ERIC LINDBORG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician4851HI
2207P00000XEmergency Medicine Physician252-09WA
3207P00000XEmergency Medicine Physician01026295IN
4207Q00000XFamily Medicine Physician4851HI

General Provider Information

NPI Number : 1184629669
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. C ERIC LINDBORG MD
Provider Business Mailing Address
First Line : 75-5751 KUAKINI HWY STE 203
Second Line :
City : KAILUA KONA
State : HI
Zip : 96740-1753
Country : US
Telephone Number : 808-326-5629
Fax Number :
Provider Business Practice Location Address
First Line : 75-5751 KUAKINI HWY STE 101A
Second Line :
City : KAILUA KONA
State : HI
Zip : 96740-1705
Country : US
Telephone Number : 808-326-5629
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 02/25/2021

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Directions to “ DR. C ERIC LINDBORG MD” Practice Location

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