Individual
MARY ELIZABETH LUNDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1406 6TH AVENUE NORTH, ST CLOUD HOSPITAL, ST CLOUD, MN 56303-1901
(320) 251-2700
(320) 656-7115
Mailing address
1406 6TH AVENUE NORTH, ST CLOUD HOSPITAL, ST CLOUD, MN 56303-1901
(320) 251-2700
(320) 656-7115
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
45783
MN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
45783
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320443000
—
MN
Enumeration date
12/21/2005
Last updated
03/28/2023
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