DR. Rick G Lundgren, O.D.

NPI #1649266040 in Orofino, Idaho

Provider Information

NPI Number: 1649266040
Entity Type: Individual
Name: DR. Rick G Lundgren, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 21, 2005
Last Updated: Jun 29, 2010

Practice Location

Address: 180 MICHIGAN AVE.
City: Orofino
State: Idaho
ZIP Code: 83544-9066
Phone: (208) 476-4814

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

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