Mark L. Lundine M.d. P.c.

NPI #1316138522 in Rockford, Illinois

Provider Information

NPI Number
1316138522
Entity Type
Organization
Organization Name
Mark L. Lundine M.d. P.c.
Primary Specialty
Otolaryngology - Facial Plastic Surgery
Enumeration Date
Aug 5, 2007
Last Updated
Oct 28, 2007

Practice Location

Address
6979 REDANSA DR
ZIP Code
61108-1201
Phone
(815) 226-1800

Authorized Official

Name
MARK L LUNDINE
Title
PRESIDENT
Phone
(815) 226-1800

Specialties & Taxonomy Codes

Specialty
Otolaryngology - Facial Plastic SurgeryFacial Plastic Surgery

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