Grant Lundie Md Pc

NPI 1053649996 - Specialist - 174400000X

NPI Details
NPI 1053649996
Enumeration Date 12/04/2009
Last Updated 12/04/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name GRANT GRANT
Position PROVIDER/OWNER
Phone (253) 459-6611
Fax (253) 269-7125
Practice Location
1901 S UNION AVE
TACOMA WA, 98405-1702, US
Phone (253) 459-6611
Fax (253) 269-7125
Business Location
PO BOX 97115
LAKEWOOD WA, 98497-0115, US
Phone (253) 588-7911
Fax (253) 984-6774
Toxanomy
Taxonomy Code 174400000X
License State Washington
License Number MD60058186
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According to our database, Grant Lundie Md Pc NPI is 1053649996, taxonomy code is 174400000X and license number is MD60058186, license state is located at Washington. Grant Lundie Md Pc physically located at 1901 S Union Ave, Tacoma WA, 98405-1702. NPI Number 1033115704 has the healthcare provider type.

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1053649996 NPI number is provided on an as is basis without warranty of any kind. 1053649996 is maintained by the National Plan & Provider Enumeration System. The contents of Grant Lundie Md Pc are for informational purposes only.