MEDICARE: MR. FRANKLIN GRANT LUNDY C.R.N.A.

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
1	367500000X	Certified Registered Nurse Anesthetist	0024139552	VA

Other Identifiers

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

General Provider Information

NPI Number	:	1902827900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FRANKLIN GRANT LUNDY C.R.N.A.

Provider Business Mailing Address
First Line	:	723 VIRGINIA AVE
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-4645
Country	:	US
Telephone Number	:	757-478-2560
Fax Number	:

Provider Business Practice Location Address
First Line	:	1925 GLENN MITCHELL DR STE 102
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-0170
Country	:	US
Telephone Number	:	757-464-1644
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	02/09/2026

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