MARK L. LUNDINE M.D. P.C. NPI 1316138522

NPI Information

NPI: 1316138522
Provider Name: MARK L. LUNDINE M.D. P.C.
Classification: Otolaryngology - 207YS0123X
Entity Type: Organization

Specialization: Facial Plastic Surgery

Address:
6979 REDANSA DR
ROCKFORD, IL
ZIP 61108
Phone: (815) 226-1800
Get Directions

MARK L. LUNDINE M.D. P.C. is a facial plastic surgery otolaryngology in Rockford, IL. The provider is an otolaryngologist who specializes in facial plastic surgery. MARK L. LUNDINE M.D. P.C. NPI is 1316138522. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6979 REDANSA DR
ROCKFORD, IL
ZIP 61108-201
Phone: (815) 226-1800

The provider's authorized official is Mark L Lundine .
The authorized official title is President and has the following contact phone number (815) 226-1800.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 10/28/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207YS0123X	Otolaryngology	Facial Plastic Surgery	336023733	ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	689720	MEDICARE PIN

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: 5/5/2024

NPI Synchronization or Removal

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