Active NPIIndividual provider

Gary K Lundstrom, MD

Radiology, Diagnostic Radiology in Lincoln, Rhode Island

NPI Number1063492734
Practice location
2 Wake Robin RD, Lincoln, RI 02865-4241
Fax
—
Last updated
October 19, 2007

Gary Karl Lundstrom is a Radiology, Diagnostic Radiology based in Lincoln, RI. Gary Karl Lundstrom practices in Lincoln, RI and has the professional credentials of MD. The NPI Number for Gary Karl Lundstrom is 1063492734 and holds a License No. 07171 (RI). The current practice location address for Gary Karl Lundstrom is 2 Wake Robin RD, Lincoln, RI 02865-4241 and can be reached out via phone at 401-333-8090.

Provider Profile Details

NPI Number
1063492734
Provider Name
Gary Karl Lundstrom
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2 Wake Robin RD, Lincoln, RI 02865-4241
Phone Number
401-333-8090
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
January 19, 2006
Last Update Date
October 19, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Wake Robin RD
Lincoln, RI 02865-4241
Zip
02865-4241
Phone Number
401-333-8090
Lincoln, RI 02865Get directions →

Provider Business Mailing Address Details

Address
2 Wake Robin RD
Lincoln, RI 02865-4241
City
Lincoln
State
RI
Zip
02865-4241
Phone Number
401-333-8090

License Information

License Number
07171
License State
RI
Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gary K Lundstrom, MD?

The NPI number of Gary K Lundstrom, MD is 1063492734. It was assigned on January 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Gary K Lundstrom, MD?

Gary K Lundstrom, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in RI under license number 07171.

Where does Gary K Lundstrom, MD practice?

The practice location is 2 Wake Robin RD, Lincoln, RI 02865-4241. The office can be reached at 401-333-8090 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063492734 directly on the NPPES registry website.

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