Daniel Julien Lundgren, OD

NPI #1811986375 in Modesto, California

Provider Information

NPI Number: 1811986375
Entity Type: Individual
Name: Daniel Julien Lundgren, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 18, 2005
Last Updated: Jan 3, 2022

Practice Location

Address: 4601 DALE RD
City: Modesto
State: California
ZIP Code: 95356-9718
Phone: (209) 735-3150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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