| John D Lundeberg, CRNA | |
|
2 S Hospital Dr, Murphysboro, IL 62966-3333 | |
| (618) 684-3156 | |
| (618) 529-0529 |
| Full Name | John D Lundeberg |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2 S Hospital Dr, Murphysboro, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386638906 | NPI | - | NPPES |
| 214881 | Other | IL | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 041181507 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209001325 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John D Lundeberg, CRNA 1239 E Main St, Carbondale, IL 62901-3175 Ph: (618) 457-5200 | John D Lundeberg, CRNA 2 S Hospital Dr, Murphysboro, IL 62966-3333 Ph: (618) 684-3156 |
Mr. Richard Earl Boren, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 S Hospital Dr, Murphysboro, IL 62966 Phone: 618-684-3156 Fax: 618-529-0529 | |
Louise Mary Vaughn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2 S Hospital Dr, Murphysboro, IL 62966 Phone: 618-684-3156 |