Lund, Lisa A.

Lund, Lisa A. is an individual health care provider with primary practice located at 1300 Anne St Nw , Bemidji MN 56601-5103. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Lund, Lisa A. can be contacted via phone (218) 333-4815.

Contact Information

Primary practice address
1300 Anne St Nw Bemidji MN 56601-5103
Phone: (218) 333-4815
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 33302 Minnesota

Profile Details

NPI number 1255355301
LBN Legal business name Lund, Lisa A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jan 19th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255355301 NPPES
Minnesota MEDICAID 9848207-00

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