Mark L. Lundine

NPI #1437251931 in Rockford, Illinois

Provider Information

NPI Number: 1437251931
Entity Type: Individual
Name: Mark L. Lundine
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Enumeration Date: Sep 4, 2006
Last Updated: Oct 19, 2017

Practice Location

Address: 1253 N ALPINE RD
City: Rockford
State: Illinois
ZIP Code: 61107-2201
Phone: (779) 696-9201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology - Facial Plastic Surgery — Facial Plastic Surgery	207YS0123X
Otolaryngology	207Y00000X	Primary

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