Individual
LEZLEE GREGUSON-LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8435
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025287200
—
NE
01
—
1518128248
WELLMARK BCBS SD AND TRICARE
SD
05
—
1518128248
—
MN
05
—
6552942
—
SD
01
—
9290372
DAKOTACARE
SD
Enumeration date
06/25/2008
Last updated
02/13/2014
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