Lund, Robert Harry

Lund, Robert Harry is an individual health care provider with primary practice located at 351 Executive Pkwy , Rockford IL 61107-5339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Lund, Robert Harry can be contacted via phone (815) 398-4057.

Contact Information

Primary practice address
351 Executive Pkwy Rockford IL 61107-5339
Phone: (815) 398-4057
Fax: (815) 398-0220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036051080 Illinois

Profile Details

NPI number 1649240128
LBN Legal business name Lund, Robert Harry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Nov 19th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649240128 NPPES
Illinois MEDICAID 036051080

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