Lundgren, Paula A

Lundgren, Paula A is an individual health care provider with primary practice located at 400 Pinellas St Ste 200 , Clearwater FL 33756-3312. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Lundgren, Paula A can be contacted via phone (727) 462-2131.

Contact Information

Primary practice address
400 Pinellas St Ste 200 Clearwater FL 33756-3312
Phone: (727) 462-2131
Fax: (727) 266-4914
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD067425L Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 2012-01374 North Carolina
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X ME147205 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X ME147205 Florida

Profile Details

NPI number 1407842727
LBN Legal business name Lundgren, Paula A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Mar 22nd, 2021 - about 4 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 1407842727 NPPES
Pennsylvania MEDICAID 0017520280003
Pennsylvania MEDICAID 5921261
Pennsylvania Other 020051708
Pennsylvania MEDICAID 109276100

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