Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 35209 | MN |
NPI | 1013938885 |
---|---|
Provider Name | Norman Martin Lunde |
First Address | Brooklyn Center, MN 55430-2128 |
Second Address | Brooklyn Center, MN 55430-2128 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 13/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103618C028 | UCARE (01) | MN |
3100243 | MEDICA (01) | MN |
32532400 | (05) | WI |
33006 | PREFERRED ONE (01) | MN |
624202200 | (05) | MN |
F00474 | (02) | |
HP13866 | HEALTHPARTNERS (01) | MN |
IM0509 | AMERICA'S PPO (01) | MN |
IM439LU | BCBSMN (01) | MN |