MEDICARE: DR. DAVID BURTON LUND PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	LP2597	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447378112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID BURTON LUND PSY.D.

Provider Business Mailing Address
First Line	:	2720 W 43RD ST
Second Line	:	SUITE 205
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55410-1643
Country	:	US
Telephone Number	:	612-532-1301
Fax Number	:	612-922-9248

Provider Business Practice Location Address
First Line	:	2720 W 43RD ST
Second Line	:	SUITE 205
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55410-1643
Country	:	US
Telephone Number	:	612-532-1301
Fax Number	:	612-922-9248

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	11/10/2020

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