Individual
DILLON REID LUNDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
815 10TH ST S, LA CROSSE, WI 54601-4764
(608) 785-0940
Mailing address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 392-9775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
76454
WI
207Q00000X
Family Medicine Physician
8725
WI
Other
Enumeration date
04/02/2020
Last updated
01/22/2024
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