| Provider / Organization | NPI | Date Certified |
|---|---|---|
| PATRICK THOMAS VANDE LUNE | 1710474945 | 2024-06-24 |
Patrick Thomas Vande Lune is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1710474945. Registration indicates Patrick Thomas Vande Lune is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Diagnostic Radiology (Radiology),, ) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Diagnostic Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Diagnostic Radiology, Allopathic & Osteopathic Physicians) (Radiology, )
| Entity Type | Individual |
| Provider Name | Patrick Thomas Vande Lune MD |
| Practice Office Address | 2000A SOUTHBRIDGE PKWY STE A300 BIRMINGHAM, AL US |
| Practice Office Telephone | 2058714274 |
| Mailing Address | 2000A SOUTHBRIDGE PKWY STE A300 BIRMINGHAM, AL 352091339 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 817 Princeton Ave SW Ste 106 | Birmingham, AL 352111340 | 2057837663 |
| Direct Messaging Address [Health Information Service Provider] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 2085R0202X PRIMARY | Diagnostic Radiology (Radiology), Allopathic & Osteopathic Physicians Radiology Radiology: Diagnostic Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Diagnostic Radiology Allopathic & Osteopathic Physicians Radiology | 67929
TN |