National Provider Identifier
Ian Thomas Lund, RPA-C
Ian Thomas Lund, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 845-2300.
Profile Overview
- NPI
- 1396057485
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 06, 2010
- Last Updated
- January 20, 2021
Practice Location
- Elm And Carlton Streets
- Buffalo, NY 14263-0001
Phone: (716) 845-2300
Mailing Address
- Elm And Carlton St
- Buffalo, NY 14263-0001
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1396057485
- Entity Type
- Individual
- Last Name
- Lund
- First Name
- Ian
- Middle Name
- Thomas
- Credential
- RPA-C
- Mailing Street Address
- Elm And Carlton St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14263-0001
- Mailing Country
- US
- Mailing Phone
- (716) 845-2300
- Mailing Fax
- (716) 845-3423
- Practice Street Address
- Elm And Carlton Streets
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14263-0001
- Practice Country
- US
- Practice Phone
- (716) 845-2300
- Practice Fax
- (716) 845-3423
- Enumeration Date
- July 06, 2010
- Last Updated
- January 20, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 20, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 03282051 (NY)