Individual
DR. DAVID P LOMMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2808 17TH AVE S, GRAND FORKS, ND 58201-4010
(701) 746-8376
(701) 746-9872
Mailing address
649 BARLEY CT, GRAND FORKS, ND 58201-8067
(701) 330-2376
(701) 335-7346
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
211
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16927
—
ND
05
—
560352800
—
MN
Enumeration date
07/10/2006
Last updated
03/12/2019
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