| Eric Evan Lund, | |
|
697 Louisiana Rd, Dyess Afb, TX 79607-1141 | |
| (325) 696-6600 | |
| Not Available |
| Full Name | Eric Evan Lund |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 697 Louisiana Rd, Dyess Afb, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265175095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 265925 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 66935 (New Mexico) | Primary |
| Entity Name | C, L And W Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619235629 PECOS PAC ID: 6709032295 Enrollment ID: O20120816000562 |
| Entity Name | Total Point - Desoto Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104590330 PECOS PAC ID: 0749679702 Enrollment ID: O20211112000123 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Evan Lund, 697 Louisiana Rd, Dyess Afb, TX 79607-1141 Ph: (325) 696-4677 | Eric Evan Lund, 697 Louisiana Rd, Dyess Afb, TX 79607-1141 Ph: (325) 696-6600 |
Mrs. Kristine Alyce Glackmeyer, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 697 Louisiana Rd, Dyess Afb, TX 79607 Phone: 325-696-1237 | |
Lori Anne Adams, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 697 Louisiana Dr, Dyess Afb, TX 79607 Phone: 325-696-4754 | |
Mrs. Sandra Sue Rogers, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 796 Louisiana Ave, Dyess Afb, TX 79607 Phone: 325-696-5432 Fax: 325-696-5431 | |
Staci Grothues, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 697 Louisiana Rd, Dyess Afb, TX 79607 Phone: 325-696-4677 | |
Rachel Jean Hathorn, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 697 Louisiana Rd, Dyess Afb, TX 79607 Phone: 325-696-4677 | |
Ms. Julie A Thomas, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7 Medical Operations Group, 697 Louisiana Rd, Dyess Afb, TX 79607 Phone: 325-696-6600 Fax: 575-784-6028 |