Individual
KATHLEEN T. LUNDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2848 PATTON RD, ROSEVILLE, MN 55113-1100
(651) 628-0098
Mailing address
2848 PATTON RD, ROSEVILLE, MN 55113-1100
(651) 628-0098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36738
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16D01LU
BCBS
MN
Enumeration date
09/12/2007
Last updated
09/12/2007
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