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NPI Code Detail

MEDICARE: ERIN E LUND MD

MEDICARE:   ERIN E LUND  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
1207Q00000XFamily Medicine PhysicianA96724CA

General Provider Information

NPI Number : 1790876720
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN E LUND MD
Provider Business Mailing Address
First Line : 3569 ROUND BARN CIR
Second Line :
City : SANTA ROSA
State : CA
Zip : 95403-5781
Country : US
Telephone Number : 707-303-3600
Fax Number : 707-303-3600
Provider Business Practice Location Address
First Line : 3569 ROUND BARN CIR
Second Line :
City : SANTA ROSA
State : CA
Zip : 95403-5781
Country : US
Telephone Number : 707-303-3600
Fax Number : 707-303-3611
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 12/11/2024

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Directions to “ ERIN E LUND MD” Practice Location

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