Provider Demographics
NPI:1326121591
Name:LUNDIN, LINDA S (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:S
Last Name:LUNDIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2409 21ST AVE S
Mailing Address - Street 2:SUIRE 104
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-5317
Mailing Address - Country:US
Mailing Address - Phone:615-463-7883
Mailing Address - Fax:615-463-7884
Practice Address - Street 1:2409 21ST AVE S
Practice Address - Street 2:SUIRE 104
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-5317
Practice Address - Country:US
Practice Address - Phone:615-463-7883
Practice Address - Fax:615-463-7884
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2013-03-26
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Provider Licenses
StateLicense IDTaxonomies
TN115632084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNA99034Medicare UPIN