Organization · NPI-2

Alston C Lundgren MD PC

Family Medicine · Santa Fe, NM

NPI number1275732075
StatusActive
Last updated in NPPESJul 19, 2007

Details

NPI
1275732075
Entity type
Organization (NPI-2)
Legal business name
Alston C Lundgren MD PC
Organization subpart
No
Enumeration date
Jul 12, 2007
Last updated
Jul 19, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine98-323NMYes

Practice location

460 Saint Michaels Dr
Ste 801
Santa Fe, NM 87505-7619

Phone 505-986-0910 · Fax 505-986-0904

Mailing address

460 Saint Michaels Dr
Ste 801
Santa Fe, NM 87505-7619

Phone 505-986-0910 · Fax 505-986-0904

Authorized official

Alston Clemens Lundgren
President
5059860910

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