RICHARD W LUNDGREN PT

FAIRVIEW HEALTH SERVICES

Dr RICHARD W LUNDGREN PT is a male medical professional, specializing in Physical Therapy. He graduated in 1992.

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FAIRVIEW HEALTH SERVICES

18580 JOPLIN AVE
LAKEVILLE
MN
550444218

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RICHARD W LUNDGREN PT Information

Npi 1033217377
Pac Id 1355358607
Professional Enrollment Id I20060313000301
Last Name LUNDGREN
First Name RICHARD
Middle Name W
Suffix
Gender M
Credential PT
Medical School Name OTHER
Graduation Year 1992
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name FAIRVIEW HEALTH SERVICES
Group Practice Pac Id 1951213057
Number Of Group Practice Members 1328
Line 1 Street Address 18580 JOPLIN AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City LAKEVILLE
State MN
Zip Code 550444218
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
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Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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