Grant Lundie MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD60058186 Issued in WA

Legal business name

GRANT LUNDIE MD PC

Practice address

1901 S Union Ave
Tacoma, WA 98405-1702

Phone

(253) 459-6611

Fax

(253) 269-7125

NPI assigned

Dec 4, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Grant Lundie, MD

Title

Provider/Owner

Phone

(253) 588-7911

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1053649996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97115",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984970115",
            "telephone_number": "253-588-7911",
            "fax_number": "253-984-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051702",
            "telephone_number": "253-459-6611",
            "fax_number": "253-269-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT LUNDIE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-04",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "LUNDIE",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "253-588-7911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD60058186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD60058186",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Joseph Grammer, MD
• Grand Park LLC
• Grand Park, LLC (Cascade Park Active Day)
• Francisca Tamayo Grande
• Colleen Ann Graney
• Cornelia M Gerde Grant, M.A., PT
• David Wayne Grant Jr., D.O.
• Elizabeth Grant
• Latasha Grant
• Melissa Ann Grant, MD

• Specialist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.