Provider Demographics
NPI:1821334327
Name:LUNDE, STEPHEN PUTNAM (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:PUTNAM
Last Name:LUNDE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4815 W MARKHAM ST
Mailing Address - Street 2:SLOT 16
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-3866
Mailing Address - Country:US
Mailing Address - Phone:501-661-2480
Mailing Address - Fax:501-661-2464
Practice Address - Street 1:4815 W MARKHAM ST
Practice Address - Street 2:SLOT 16
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-3866
Practice Address - Country:US
Practice Address - Phone:501-661-2480
Practice Address - Fax:501-661-2464
Is Sole Proprietor?:No
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARN-5906207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology