Provider Demographics
NPI:1043308919
Name:MERRILL AND LINDA LUND L.M.T.'S INC.
Entity Type:Organization
Organization Name:MERRILL AND LINDA LUND L.M.T.'S INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MERRILL
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:LUND
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:239-592-0304
Mailing Address - Street 1:1001 CROSSPOINTE DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-0930
Mailing Address - Country:US
Mailing Address - Phone:239-592-0304
Mailing Address - Fax:239-592-5540
Practice Address - Street 1:1001 CROSSPOINTE DR
Practice Address - Street 2:SUITE 1
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-0930
Practice Address - Country:US
Practice Address - Phone:239-592-0304
Practice Address - Fax:239-592-5540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherTIN