| |
2401 Main Street East, Suite A, Thompson Falls, MT 59873-2401 | |
(406) 827-5500 | |
(406) 827-1986 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 2401 Main Street East, Suite A, Thompson Falls, Montana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023581808 | NPI | - | NPPES |
41726 | Other | MT | BLUE CROSS AND BLUE SHIELD OF MONTANA |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Clark D Lundgren |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1376639633 PECOS PAC ID: 6103860531 Enrollment ID: I20050615001102 |
Mailing Address | Practice Location Address |
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Po Box 2084, Thompson Falls, MT 59873-2084 Ph: (406) 827-5500 | 2401 Main Street East, Suite A, Thompson Falls, MT 59873-2401 Ph: (406) 827-5500 |
Dr. Clark D Lundgren, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2401 Main St E, Suite A, Thompson Falls, MT 59873 Phone: 406-827-5500 Fax: 406-827-1986 |