Dr. Zachary Lundgren
Optometrist
1603 Southbrook Ln
Wadena
, Minnesota 56482-2110
Dr. Zachary Lundgren
Optometrist
1603 Southbrook Ln
Wadena
, Minnesota 56482-2110
(218) 371-7022
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Zachary Lundgren
- 1603 Southbrook Ln
- Wadena, MN
- Zip : 56482-2110
- Phone : (218) 371-7022
Second Address
- Dr. Zachary Lundgren
- 1603 Southbrook Ln
- Wadena, MN
- Zip : 56482-2110
- Phone : (218) 371-7022
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3339 | CO |
National Provider Identifier
| NPI | 1013370535 |
|---|---|
| Provider Name | Dr. Zachary Lundgren |
| First Address | Wadena, MN 56482-2110 |
| Second Address | Wadena, MN 56482-2110 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/04/2016 |
| Last Update Date | 13/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.