IndividualActive
Larry Lundy, MD
NPI 1790775617 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Jacksonville, FL
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)
Practice location
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
Mailing address
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Registry dates
- Enumerated
- 2005-10-22
- Last updated
- 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.