| Doctor Name: | JOHN EDWARD LUNDY |
| NPI Number: | 1982795035 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 83246NM |
| Business Practice Address: | 220 East Hemlock Deming, NM - 88030 |
| Business Phone Number: | 5055462705 |
| Business Fax Number: | 5055462706 |
| Mailing Address: | 220 East Hemlock, DEMING |
| State: | NM |
| Postal Code: | 88030 |
| Phone Number: | 5055462705 |
| Fax Number: | 5055462706 |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 01/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 83246NM |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |