Male or Other

Dr. Mark S. Lund O.D.

Optometrist in Gaithersburg, MD(View on Map)

Full Name

Dr. Mark Steven Lund O.D.

NPI Number

1972614923

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/31/2006

Specialties

(Taxonomies)

Code

152W00000X

Primary Taxonomy

Yes

Licenses

State

Maryland
Texas
Virginia

License Number

TA1880
T3196
0618001380

Contact
Information

Purpose

Mailing
Location

Address

410 LONG TRAIL TER
6 GRAND CORNER AVE

City

Rockville
Gaithersburg

State

MD
MD

Postal Code

20850-7763
20878-7303

Country

US
US

Telephone Number

(301) 762-2974
(301) 948-2020

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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