Doris Lundberg | Lackland A F B, TX • PECOS Search

Doris Lundberg

Internal Medicine

Allopathic & Osteopathic Physicians

2200 Bergquist Dr Ste 1, Lackland A F B, TX 78236-9908

(210) 292-6707 (210) 945-4187

PECOS Enrollment

Based on the most recent information from CMS, provider Doris Lundberg does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1265452734
Provider Type
Individual
Full Name
Lundberg, Doris
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
7/20/2006
Last Updated
7/8/2007

Contact Information

Practice Location

2200 Bergquist Dr Ste 1, Lackland A F B, TX 78236-9908

Unlisted Fax

Mailing Location

1301 Arroyo Verde, Schertz, TX 78154-3628

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License F2332 Texas