National Provider Identifier Database

DARYL B LUNDGRIN, MD – NPI #1881682813
Anatomic Pathology & Clinical Pathology

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.


Contact Information

DARYL B LUNDGRIN, MD
5301 VIRGINIA WAY
SUITE 300
BRENTWOOD, TN37027-7541
Phone: 615-221-4474
Fax: 615-234-3774
Website:
Specialty Taxonomy Code
* Anatomic Pathology & Clinical Pathology 207ZP0102X
Anatomic Pathology 207ZP0101X

* Indicates primary specialty

NPI Profile & details for DARYL B LUNDGRIN

NPI Number 1881682813
Credentials MD
Entity Individual
Enumeration date 10/13/2005
Last updated 10/28/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • KY License #: 43153
  • TN License #: MD25297
  • GA Medicaid: 00623235A
  • NC Medicaid: 89063XK
  • TN Medicaid: 3383335
  • Other: 264946 BLACK LUNG
  • Other: TN0101 JOHN DEER
  • Other: 100022075 PHP OF TN
  • Other: 220018743 RAILROAD MEDICARE
  • Other: PAYSUB TRIGON
  • Other: 1140001 UNITED HEALTHCARE
  • TN Other: 3031330 BCBS OF TN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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