Lundy, Molly

Lundy, Molly is an individual health care provider with primary practice located at 2005 Jacobssen Dr , Normal IL 61761-6287. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lundy, Molly can be contacted via phone (309) 319-7360.

Contact Information

Primary practice address
2005 Jacobssen Dr Normal IL 61761-6287
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125.058507 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036132003 Illinois

Profile Details

NPI number 1124349089
LBN Legal business name Lundy, Molly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2010
Last updated Feb 3rd, 2023 - about last year

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 1124349089 NPPES
Illinois Other 1189264 AAP ID
Illinois Other 125.058507 AAP ID

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