LARRY LUNDY MD
NPI 1790775617
Otolaryngology - Plastic Surgery within the Head & Neck in Jacksonville, FL

Q: What is Larry Lundy's NPI number?

The NPI number for Larry Lundy is 1790775617. It was assigned to this individual provider in the NPPES registry on October 22, 2005.

Q: What is Larry Lundy's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Q: When was this NPI record last updated?

The NPPES record for Larry Lundy was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 22, 2005

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2021, Aug 31, 2020, Dec 13, 2017 (3 updates tracked since 2017).

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About Larry Lundy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY LUNDY MD (NPI 1790775617) is an individual plastic surgery within the head & neck provider in Jacksonville, Florida, licensed in Florida (ME47338) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1790775617

Entity TypeIndividualMale

Primary Taxonomy207YX0007X

Provider Legal NameLARRY LUNDYCredential: MD

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865

Phone(904) 953-2000

Sole ProprietorNo

Enumeration DateOctober 22, 2005

Last NPPES UpdateDecember 6, 20213 updates tracked since enumeration

NPPES CertifiedDecember 6, 2021

✔ NPI 1790775617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians

Taxonomy Code207YX0007X

License✔ Licensed in FL · ME47338

Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

4500 SAN PABLO RD S, Jacksonville, FL 32224

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE L WALSH PA-C/MPH

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