Individual
DR. ERICK JAMES LUNDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4600 LAKE ROAD AVE STE 301, ROBBINSDALE, MN 55422
(763) 588-7099
(763) 522-2222
Mailing address
4600 LAKE ROAD AVE STE 301, ROBBINSDALE, MN 55422-1845
(763) 588-7099
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4639
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C07J2LI
BLUE CROSS BLUE SJIELD
MN
Enumeration date
11/13/2006
Last updated
06/05/2018
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