Individual
DR. LISA A. LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 333-4815
Mailing address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 333-4815
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
33302
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9848207-00
—
MN
Enumeration date
07/26/2006
Last updated
01/19/2015
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