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Individual

LANCE LUNDSTAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
151 TYLER RD N, RED WING, MN 55066-1865
(651) 388-2433
Mailing address
PO BOX 821, LINDSTROM, MN 55045-0821
(507) 458-1217

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119193
MN
183500000X
Pharmacist
12304
WI

Other

Enumeration date
12/05/2015
Last updated
12/05/2015
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