Provider Demographics
NPI:1700859279
Name:LUND, GUY LOUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:GUY
Middle Name:LOUIS
Last Name:LUND
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4225 EXECUTIVE SQ STE 450
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-8411
Mailing Address - Country:US
Mailing Address - Phone:858-810-0000
Mailing Address - Fax:858-268-1911
Practice Address - Street 1:7910 FROST ST
Practice Address - Street 2:STE 220
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-2771
Practice Address - Country:US
Practice Address - Phone:858-637-4700
Practice Address - Fax:858-637-4701
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2021-01-26
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Provider Licenses
StateLicense IDTaxonomies
CAA68839207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA68839AOtherSO CA MEDICARE PTAN