Lundeen, Mark Allen

Lundeen, Mark Allen is an individual health care provider with primary practice located at 1720 University Dr S , Fargo ND 58103-4940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Lundeen, Mark Allen can be contacted via phone (701) 280-4140.

Contact Information

Primary practice address
1720 University Dr S Fargo ND 58103-4940
Phone: (701) 280-4140
Fax: (701) 237-0922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X E7658 Texas
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 22896 Minnesota
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4392 North Dakota

Profile Details

NPI number 1730130493
LBN Legal business name Lundeen, Mark Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Mar 25th, 2022 - about 2 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 1730130493 NPPES
North Dakota MEDICAID 13465

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