Individual
DR. LYLE E LUNDBLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6600 FRANCE AVENUE SOUTH, SUITE 660, EDINA, MN 55435
(952) 922-2000
(952) 920-7759
Mailing address
6600 FRANCE AVENUE SOUTH, SUITE 660, EDINA, MN 55435
(952) 922-2000
(952) 920-7759
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35744
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02T31LU
BCBS
MN
Enumeration date
11/20/2006
Last updated
07/08/2007
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