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NPI Code Detail

MEDICARE: MR. DANIEL J LUNDY LPC

MEDICARE: MR. DANIEL J LUNDY LPC
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
1101YM0800XMental Health Counselor1606CO
2101YM0800XMental Health CounselorLPC.0001606CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811058027
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL J LUNDY LPC
Provider Business Mailing Address
First Line : P.O. BOX 2135
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80901-2135
Country : US
Telephone Number : 719-271-6677
Fax Number :
Provider Business Practice Location Address
First Line : 2021 W COLORADO AVE
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-3840
Country : US
Telephone Number : 719-271-6677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 03/22/2022

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