JOHN D LUNDEBERG

MURPHYSBORO, IL
NPI1386638906
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209001325)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  041181507)
Enumeration Date2005-09-09
Last Update Date2020-04-13
Business Address
JOHN D LUNDEBERG CRNA
2 S HOSPITAL DR
MURPHYSBORO, IL 62966-3333
Phone number: 618-684-3156
Mailing Address
JOHN D LUNDEBERG CRNA
1239 E MAIN ST
CARBONDALE, IL 62901-3175
Phone number: 618-457-5200
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