| Doctor Name: | JAMES EDGAR LUNDEEN |
| NPI Number: | 1962654731 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 35052257 |
| Business Practice Address: | 26 Sandusky St Plymouth, OH - 448651113 |
| Business Phone Number: | 4196874322 |
| Business Fax Number: | 4196874323 |
| Mailing Address: | 26 Sandusky St, PLYMOUTH |
| State: | OH |
| Postal Code: | 448651113 |
| Phone Number: | 4196874322 |
| Fax Number: | 4196874323 |
| NPI Enumeration Date: | 10/10/2008 |
| NPI Last Update Date: | 02/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 35052257 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |