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Contact Information

LORI B LISTUG LUNDE, PHD LP
1900 CENTRACARE CIRCLE
SAINT CLOUD, MN56303
 Phone: 320-255-5796
 Fax: 320-229-5179
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LORI B LISTUG LUNDE · (Female)

NPI # 1306944384
Status Active
Credentials PHD LP
Entity Individual
Enumeration date 09/21/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • DE License # B10000729
  • MN License # LP 4748
  • MN License # LP4748
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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