Lundstrom, Paul E

Lundstrom, Paul E is an individual health care provider with primary practice located at 77 W Forest Ave Suite 201, Flagstaff AZ 86001-1479. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lundstrom, Paul E can be contacted via phone (928) 773-2222.

Contact Information

Primary practice address
77 W Forest Ave Suite 201 Flagstaff AZ 86001-1479
Phone: (928) 773-2222
Fax: (928) 773-2598
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 8740 Arizona

Profile Details

NPI number 1487623476
LBN Legal business name Lundstrom, Paul E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jan 25th, 2008 - about 16 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 1487623476 NPPES
Arizona Other AZ0801620 BLUE CROSS BLUE SHIELD AZ
Arizona MEDICAID 202226 BLUE CROSS BLUE SHIELD AZ

Popular Providers