Clark D Lundgren (NPI# 1376639633, PAC ID# 6103860531) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1376639633 |
| PAC ID by PECOS | 6103860531 |
| Professional Enrollment ID | I20050615001102 |
| Full Name | Clark D Lundgren |
| Address |
2401 Main St E Suite A Thompson Falls MT 59873-9351 |
| Gender | M |
| Credential | DC |
| Medical School | NORTHWESTERN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1961 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 271323 | CLARK FORK VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2401 Main St E, Suite A, Thompson Falls, MT 59873-9351 |
| Street Address |
2401 MAIN ST E SUITE A |
| City | THOMPSON FALLS |
| State | MT |
| Zip | 59873-9351 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leta A Livoti | Clinical Social Worker | 120 E Steamboat St, Thompson Falls, MT 59873 | |
| Hayley S Allen-blakney | Clinical Social Worker | 705 Southwood Ct, Thompson Falls, MT 59873-8507 | |
| Abigail M Harnett | Clinical Social Worker | Western Montana Mental Health Center | 602 Preston Ave W, Thompson Falls, MT 59873-9319 |
| Sarah C Harmon | Physical Therapy | 1219 Main St, Thompson Falls, MT 59873-9355 | |
| Raoul A Ribeiro | Clinical Social Worker | 109 Spruce St, Thompson Falls, MT 59873-9426 |
| City | THOMPSON FALLS |
| Zip Code | 59873 |
| Specialty | CHIROPRACTIC |
| City + Specialty | THOMPSON FALLS + CHIROPRACTIC |
Please comment or provide details below to improve the information on Clark D Lundgren.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.