National Provider Identifier
Maureen K Lundergan, M.D.
Maureen K Lundergan, M.D. is listed in the NPPES registry with a primary specialty of Ophthalmology Physician in Williamsville, NY and a listed phone number of (716) 632-3545.
Profile Overview
- NPI
- 1306841226
- Provider Type
- Individual
- Primary Specialty
- Ophthalmology Physician
- Enumeration Date
- June 16, 2005
- Last Updated
- August 13, 2013
Practice Location
- 6333 Main St
- Williamsville, NY 14221-5800
Phone: (716) 632-3545
Specialties
- Ophthalmology Physician (207W00000X)
Full Record
- NPI
- 1306841226
- Entity Type
- Individual
- Last Name
- Lundergan
- First Name
- Maureen
- Middle Name
- K
- Credential
- M.D.
- Mailing Street Address
- 6333 Main St
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5800
- Mailing Country
- US
- Mailing Phone
- (716) 632-3545
- Mailing Fax
- (716) 632-6368
- Practice Street Address
- 6333 Main St
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5800
- Practice Country
- US
- Practice Phone
- (716) 632-3545
- Practice Fax
- (716) 632-6368
- Enumeration Date
- June 16, 2005
- Last Updated
- August 13, 2013
- Deactivation Date
- March 18, 2006
- Reactivation Date
- April 04, 2006
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Ophthalmology Physician (207W00000X)