Lundberg, Peter William

Lundberg, Peter William is an individual health care provider with primary practice located at 1111 Medical Center Blvd Ste S860 , Marrero LA 70072-3136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lundberg, Peter William can be contacted via phone (504) 349-6860.

Contact Information

Primary practice address
1111 Medical Center Blvd Ste S860 Marrero LA 70072-3136
Phone: (504) 349-6860
Fax: (504) 349-6865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 310253 Louisiana

Profile Details

NPI number 1619267952
LBN Legal business name Lundberg, Peter William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2011
Last updated Oct 21st, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619267952 NPPES
Louisiana MEDICAID 103320820

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