# GUNDERSEN CLINIC LTD

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GUNDERSEN CLINIC LTD
- **Other names:** Gundersen Specialty Pharmacy-La Crosse Clinic, GUNDERSEN LUTHERAN CLINIC PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285351429
- **Legal business name:** GUNDERSEN CLINIC LTD
- **Authorized official:** TINA LECHNIR (VP CROSS-FUNCTIONAL CARE)
- **Authorized official phone:** (608) 775-2600

## Contact information

- **Practice address:** 1836 SOUTH AVE, LA CROSSE, WI 54601-5429
- **Practice address phone:** (608) 782-7300
- **Mailing address:** 1836 SOUTH AVE, LA CROSSE, WI 54601-5429
- **Mailing address phone:** (608) 782-7300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/27/2022
- **Last updated:** 07/04/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2112770 | PK | — |
| 05 | — | 33096300 | — | WI |