Individual
WILLIAM J LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9484
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018654600
MEDICAL ASSISTANCE
—
01
—
1041603
PREFERRED ONE
—
01
—
140987
U CARE
—
01
—
2145442
ARAZ GROUP AMERICAS PPO
—
01
—
841S8LU
BLUE CROSS BLUE SHIELD
—
01
—
HP41343
HEALTH PARTNERS
—
01
—
P00147338
RR MEDICARE
—
Enumeration date
10/25/2005
Last updated
11/28/2011
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