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Contact Information

DEANDRA LUNDEEN
3850 PARK NICOLLET BLVD
SAINT LOUIS PARK, MN55416-2527
 Phone: 952-993-3400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Care

1835P2201X
Indicates primary specialty

NPI Profile & details for DEANDRA LUNDEEN · (Female)

NPI Number 1497420970
Status Active
Credentials
Entity Individual
Enumeration date 08/16/2021
Last updated 08/16/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 125343
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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