Doctor Name: | DIANE J LUND |
NPI Number: | 1053371062 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 1220 |
Business Practice Address: | 1430 Hwy 96 E Mail Stop 32300a White Bear Lake, MN - 551107693 |
Business Phone Number: | 6514261980 |
Business Fax Number: | 6516532111 |
Mailing Address: | 8100 34th Ave S, Mail Stop 21110q BLOOMINGTON |
State: | MN |
Postal Code: | 554251672 |
Phone Number: | 9528835463 |
Fax Number: | 9528835395 |
NPI Enumeration Date: | 03/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1220 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |