Lundberg Consultant Services PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

TL2997 Issued in WY

Legal business name

LUNDBERG CONSULTANT SERVICES PC

Practice address

1233 E 2ND St
Casper, WY 82601-2926

Phone

(307) 577-2422

NPI assigned

Jul 29, 2015

Organization subpart

No

Name

Dr. Carl S Lundberg, DO

Title

President

Phone

(307) 234-9657

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2015.

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1275918468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 S DAVID ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013137",
            "telephone_number": "307-234-9657",
            "fax_number": "307-234-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012926",
            "telephone_number": "307-577-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNDBERG CONSULTANT SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "LUNDBERG",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-234-9657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "WY",
            "license": "TL2997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lsref Golden Ops 14 (Wy) LLC
• Lsref Golden Ops 14 (Wy) LLC
• Marko Lubardic, MD
• Frances Lee Lujan, LCSW
• Netsanet Lundahl, MD
• Deette Lundberg, LAT
• Sophia Lybrand, RN
• DJ Lyles
• Laurie Ann Lyon
• Rebecca Mabie, DO

• All providers in Casper, WY
• Anesthesiology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.