John D Lundeberg, CRNA | |
2 S Hospital Dr, Murphysboro, IL 62966-3333 | |
(618) 684-3156 | |
(618) 529-0529 |
Full Name | John D Lundeberg |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2 S Hospital Dr, Murphysboro, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386638906 | NPI | - | NPPES |
214881 | Other | IL | GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 041181507 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209001325 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
John D Lundeberg, CRNA 1239 E Main St, Carbondale, IL 62901-3175 Ph: (618) 457-5200 | John D Lundeberg, CRNA 2 S Hospital Dr, Murphysboro, IL 62966-3333 Ph: (618) 684-3156 |
Mr. Richard Earl Boren, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 S Hospital Dr, Murphysboro, IL 62966 Phone: 618-684-3156 Fax: 618-529-0529 | |
Louise Mary Vaughn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2 S Hospital Dr, Murphysboro, IL 62966 Phone: 618-684-3156 |