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Individual

LYNDA K KRUCKEBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHCNP

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R116090-7
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07-03374
MEDICA
01
1017704
PREFERRED ONE
01
120812
UCARE
01
1836755
AMERICA'S PPO (ARAZ)
01
28737
SIOUX VALLEY HEALTH PLAN
01
287R2KR
BCBS MN
MN
01
HP23670
HEALTH PARTNERS
Enumeration date
01/25/2006
Last updated
07/13/2026
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