Organization · Type 2 NPI
Mark L. Lundine M.d. P.c.
Facial Plastic Surgery Physician · Rockford, IL
NPI number
1316138522
Active
Practice location
6979 Redansa Dr
Rockford, IL 61108-1201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Facial Plastic Surgery Physician Primary | 207YS0123X | 336023733 (IL) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
About NPI 1316138522
Mark L. Lundine M.d. P.c.'s National Provider Identifier is 1316138522, issued on Aug 5, 2007. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Rockford, IL. The record was last updated on Oct 28, 2007.