Jack Lund Do PA

NPI #1417148503 in Port Richey, Florida

Provider Information

NPI Number
1417148503
Entity Type
Organization
Organization Name
Jack Lund Do PA
Primary Specialty
General Practice
Enumeration Date
Aug 5, 2007
Last Updated
Aug 5, 2007

Practice Location

Address
6545 RIDGE RD STE 1
State
Florida
ZIP Code
34668-6865
Phone
(727) 843-8688

Authorized Official

Name
DR. JACK R LUND, DO
Title
OWNER
Phone
(727) 843-8688

Specialties & Taxonomy Codes

Specialty
General Practice

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