Larry Lundy, MD
NPI 1790775617 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Jacksonville, FL
Larry Lundy, MD is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider in Jacksonville, FL (NPI 1790775617).
Provider details
- NPI number
- 1790775617
- Entity type
- Individual
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME47338 (FL)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense ME47338 (FL)
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-22
- Last updated
- 2021-12-06
- Certified
- 2021-12-06
Frequently asked questions
- What is Larry Lundy's NPI number?
- Larry Lundy's National Provider Identifier (NPI) is 1790775617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larry Lundy's specialty?
- Larry Lundy is listed in the NPPES registry with a primary specialty of Plastic Surgery within the Head & Neck (Otolaryngology) Physician (Allopathic & Osteopathic Physicians).
- Where is Larry Lundy located?
- Larry Lundy's practice location on file with NPPES is 4500 San Pablo Rd S, Jacksonville, FL 32224-1865.
- What is Larry Lundy's phone number?
- The practice phone number listed in the NPPES registry for Larry Lundy is (904) 953-2000.
- Is Larry Lundy's NPI active?
- Yes — Larry Lundy's NPI (1790775617) is active in the NPPES registry as of the last update on 2021-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.