Lois J. Lunderman, DDS, PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN13619 Issued in FL

Legal business name

LOIS J. LUNDERMAN, DDS, PA

Practice address

395 Valparaiso Pkwy
Valparaiso, FL 32580-1203

Phone

(850) 678-2012

Fax

(850) 678-1453

NPI assigned

Aug 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lois Johnson Lunderman, D.D.S.NPI 1265454862

Title

Dentist

Phone

(850) 678-2012

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lois Johnson Lunderman, D.D.S.

  • Dentist
  • Valparaiso, FL
  • NPI 1265454862
  NPD (past) Authorized official
• Deborah Marie Jerrells, DMD

  • Dentist
  • Valparaiso, FL
  • NPI 1538139076
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235149964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 VALPARAISO PKWY",
            "city": "VALPARAISO",
            "state": "FL",
            "postal_code": "325801203",
            "telephone_number": "850-678-2012",
            "fax_number": "850-678-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 VALPARAISO PKWY",
            "city": "VALPARAISO",
            "state": "FL",
            "postal_code": "325801203",
            "telephone_number": "850-678-2012",
            "fax_number": "850-678-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOIS J. LUNDERMAN, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUNDERMAN",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "850-678-2012",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• I3M Wellness LLC
• Jeffrey Dental Clinic PLLC
• Alex J. Jeffrey, D.D.S.
• McKinzie Jeffrey, D.D.S.
• Deborah Marie Jerrells, DMD
• Lynsie Rae Lopiccolo
• Lois Johnson Lunderman, D.D.S.
• Kathryn Luisa Mailoto, APRN
• Morakort Maxwell-Roebuck
• Ashley Throneberry Mills

• Dentist in Valparaiso, FL
• Providers in Valparaiso, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.