Lundgrin, Daryl B

Lundgrin, Daryl B is an individual health care provider with primary practice located at 5301 Virginia Way Suite 300, Brentwood TN 37027-7541. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Lundgrin, Daryl B can be contacted via phone (615) 221-4474.

Contact Information

Primary practice address
5301 Virginia Way Suite 300 Brentwood TN 37027-7541
Phone: (615) 221-4474
Fax: (615) 234-3774
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X MD25297 Tennessee
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 43153 Kentucky

Profile Details

NPI number 1881682813
LBN Legal business name Lundgrin, Daryl B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Oct 28th, 2010 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881682813 NPPES
Other 100022075 PHP OF TN
Other 3031330 PHP OF TN
Other 264946 PHP OF TN
Other TN0101 PHP OF TN
MEDICAID 3383335 PHP OF TN
MEDICAID 89063XK PHP OF TN
Other PAYSUB PHP OF TN
Other 220018743 PHP OF TN
MEDICAID 00623235A PHP OF TN
Other 1140001 PHP OF TN

Popular Providers