Individual
LON T KNUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26414
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044003500
—
MN
01
—
1202175
U CARE
MN
01
—
1443257
AMERICAS PPO
MN
01
—
370005386
RR MEDICARE
—
01
—
410849339 56001 C058
CHAMPUS
—
01
—
53202KN
BC BS
MN
05
—
938134
—
IA
01
—
HP25600
HEALTH PARTNERS
MN
01
—
NA2951023843
PREFERRED ONE
MN
Enumeration date
01/09/2006
Last updated
07/10/2020
Update your record
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