Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD043741E | PA |
NPI | 1144267386 |
---|---|
Provider Name | Edward F Lundy |
First Address | Lancaster, PA 17603-2530 |
Second Address | Lancaster, PA 17602-2250 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 25/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0011812880001 | (05) | PA |
E23148 | (02) | PA |