Lundeen, Gregory Andrew
Lundeen, Gregory Andrew is an individual health care provider with primary practice located at 555 N Arlington Ave , Reno NV 89503-4723. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Lundeen, Gregory Andrew can be contacted via phone (775) 786-3040.Contact Information
Primary practice address
555 N Arlington Ave
Reno NV 89503-4723
Phone: (775) 786-3040
Fax: (775) 788-5207
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 11796 | Nevada |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | A94028 | California |
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | 11796 | Nevada |
Profile Details
| NPI number | 1720036270 |
|---|---|
| LBN Legal business name | Lundeen, Gregory Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Dec 22nd, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720036270 | NPPES |
| Other | 11609986 | CAQH | |
| MEDICAID | 100510206 | CAQH |
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