Martin Peter Lundell O.D.

NPI 1437312865 - Optometrist - 152W00000X

NPI Details
NPI 1437312865
Gender Male
Enumeration Date 07/07/2008
Last Updated 07/07/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2300 E 17TH ST
SUITE 1157
IDAHO FALLS ID, 83404-6504, US
Phone (208) 552-3355
Fax
Business Location
2300 E 17TH ST
SUITE 1157
IDAHO FALLS ID, 83404-6504, US
Phone (208) 552-3355
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Idaho
License Number ODP-100169
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According to our database, Dr. Martin Peter Lundell O.D. NPI is 1437312865, taxonomy code is 152W00000X and license number is ODP-100169, license state is located at Idaho. Martin Peter Lundell O.D. physically located at 2300 E 17th St, Idaho Falls ID, 83404-6504. NPI Number Martin Peter Lundell O.D. has the Individual type.

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1437312865 NPI number is provided on an as is basis without warranty of any kind. 1437312865 is maintained by the National Plan & Provider Enumeration System. The contents of Martin Peter Lundell O.D. are for informational purposes only.