Gary Karl Lundstrom, MD in Lincoln, RI - Radiology

Gary Karl Lundstrom, MD is a Radiology - Diagnostic Radiology physician based in Lincoln, Rhode Island. Gary Karl Lundstrom is licensed to practice in Rhode Island (license number 07171) and his current practice location is 2 Wake Robin Rd, Lincoln, Rhode Island. He can be reached at his office (for appointments etc.) via phone at (401) 333-8090.

NPI number for Gary Karl Lundstrom is 1063492734 and his current mailing address is 2 Wake Robin Rd, Lincoln, Rhode Island. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063492734.

Contact Information

	Gary Karl Lundstrom, MD
	2 Wake Robin Rd, Lincoln, RI 02865-4241
	(401) 333-8090
	Not Available

Physician's Profile

Full Name	Gary Karl Lundstrom
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	2 Wake Robin Rd, Lincoln, Rhode Island
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1063492734
Provider Enumeration Date: 01/19/2006
Last Update Date: 10/19/2007

Medical Identifiers

Medical identifiers for Gary Karl Lundstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063492734	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	07171 (Rhode Island)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gary Karl Lundstrom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Gary Karl Lundstrom, MD 2 Wake Robin Rd, Lincoln, RI 02865-4241 Ph: (401) 333-8090	Gary Karl Lundstrom, MD 2 Wake Robin Rd, Lincoln, RI 02865-4241 Ph: (401) 333-8090

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Gary Karl Lundstrom, MD - Radiology in Lincoln, RI