Lundberg, Andrew Hayward

Lundberg, Andrew Hayward is an individual health care provider with primary practice located at 235 Tyson Ave , Paris TN 38242-4544. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Lundberg, Andrew Hayward can be contacted via phone (731) 644-3211.

Contact Information

Primary practice address
235 Tyson Ave Paris TN 38242-4544
Phone: (731) 644-3211
Fax: (731) 644-1552
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD29285 Tennessee
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD29285 Tennessee

Profile Details

NPI number 1770509705
LBN Legal business name Lundberg, Andrew Hayward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Nov 5th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770509705 NPPES
Tennessee Other P00113129 RAILROAD MEDICARE INDIVID
Tennessee Other DB4003 RAILROAD MEDICARE INDIVID
Tennessee MEDICAID 3881424 RAILROAD MEDICARE INDIVID
Tennessee Other 4075410 RAILROAD MEDICARE INDIVID

Popular Providers