Individual
JOHN PAUL LUNDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4194 LEXINGTON AVE N, SHOREVIEW, MN 55126-6106
(651) 483-5461
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22660
MN
Other
Enumeration date
04/05/2006
Last updated
10/27/2011
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