Individual
DANAE J. LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Contact information
Practice address
1526 30TH ST NW, BEMIDJI, MN 56601-4133
(218) 751-0887
Mailing address
1526 30TH ST NW, BEMIDJI, MN 56601-4133
(218) 751-0887
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4108
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069022800
—
MN
Enumeration date
07/01/2005
Last updated
03/25/2022
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