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Individual

TIMOTHY LUND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
255 SMITH AVE N STE 210, SAINT PAUL, MN 55102-2518
(651) 241-4622
(651) 241-7100
Mailing address
255 SMITH AVE N STE 210, SAINT PAUL, MN 55102-2518
(651) 241-4622
(651) 241-7100

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14776
MN
363AM0700X
Medical Physician Assistant
MN

Other

Enumeration date
08/08/2023
Last updated
02/20/2025
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