Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Larry Lundy, MD

Individual provider Plastic Surgery within the Head & Neck (Otolaryngology) Physician · NPI 1790775617

Larry Lundy, MD is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Specialties & licences

Plastic Surgery within the Head & Neck (Otolaryngology) Physician (primary) Taxonomy 207YX0007X · Licence ME47338 (FL)

Record details

NPI number1790775617
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 22, 2005
Last updated in NPPESDecember 6, 2021
Certification dateDecember 6, 2021
Mailing address4500 San Pablo Rd S, Jacksonville, FL 32224-1865

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