Individual
HANNAH LUNDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14213 GOLF COURSE DR STE 100, BAXTER, MN 56425-8432
(218) 829-4511
(218) 829-5483
Mailing address
14213 GOLF COURSE DR STE 100, BAXTER, MN 56425-8432
(218) 829-4511
(218) 829-5483
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14730
MN
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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