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PAUL E LUNDSTROM MD NPI 1487623476


NPI Information

NPI: 1487623476
Provider Name: PAUL E LUNDSTROM, MD
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
77 W FOREST AVE
SUITE 201
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 773-2222
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Paul E Lundstrom, MD is a surgery in Flagstaff, AZ. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Paul E Lundstrom, MD NPI is 1487623476. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

77 W FOREST AVE
SUITE 201
FLAGSTAFF, AZ
ZIP 86001-479
Phone: (928) 773-2222
Fax: (928) 773-2598

The enumeration date for this NPI number is 3/14/2006 and was last updated on 1/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery8740ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1202226MEDICAIDARIZONA
271006MEDICARE PINARIZONA
3AZ0801620OTHERARIZONABLUE CROSS BLUE SHIELD AZ
4C99909MEDICARE UPIN
571006MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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