Dr. Cory A Lundberg
Internist Internist - Allergy & Immunology
Madigan Army Medical Center 9040 Jackson Ave
Tacoma
, Washington 98431
Dr. Cory A Lundberg
Internist Internist - Allergy & Immunology
Madigan Army Medical Center 9040 Jackson Ave
Tacoma
, Washington 98431
(253) 968-2252
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About
Features
Specialties
- Internist
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Dr. Cory A Lundberg
- Madigan Army Medical Center 9040 Jackson Ave
- Tacoma, WA
- Zip : 98431-0001
- Phone : (253) 968-2252
Second Address
- Dr. Cory A Lundberg
- Madigan Army Medical Center 9040 Jackson Ave
- Tacoma, WA
- Zip : 98431
- Phone : (253) 968-2252
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 77930 | GA |
| N | 111NI0900X | Internist | 77930 | GA |
| Y | 207R00000X | Internist | OP60729233 | WA |
| Y | 111NI0900X | Internist | OP60729233 | WA |
| N | 207RA0201X | Internist - Allergy & Immunology | 77930 | GA |
National Provider Identifier
| NPI | 1992934624 |
|---|---|
| Provider Name | Dr. Cory A Lundberg |
| First Address | Tacoma, WA 98431-0001 |
| Second Address | Tacoma, WA 98431 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2009 |
| Last Update Date | 18/07/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.