Active NPI
Eric Clifford Lundin, M.A,,L.P.
- Psychologist
- Faribault, MN
National Provider Identifier
1487847133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP2379
- Practice address
- 320 3Rd St NW
Faribault, MN 55021-5195 - Phone
- (507) 332-6241
- Fax
- (507) 332-6247
- NPI assigned
- Aug 24, 2007
- Last updated
- Aug 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP2379 | MN | Primary |
Addresses
Primary practice location
320 3Rd St NW
Faribault, MN 55021-5195
Mailing address
320 3Rd St NW
Faribault, MN 55021-5195
Phone (507) 332-6241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP2379 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187913600000",
"number": "1487847133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 3RD ST NW",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550215195",
"telephone_number": "507-332-6241",
"fax_number": "507-332-6247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 3RD ST NW",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550215195",
"telephone_number": "507-332-6241",
"fax_number": "507-332-6247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDIN",
"first_name": "ERIC",
"middle_name": "CLIFFORD",
"name_prefix": "Mr.",
"credential": "M.A,,L.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-24",
"last_updated": "2007-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP2379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Faribault, MN
- Kathleen Shields Linnemann, M.D.
- Griselda Lopez, NP
- Karmy Mara Luker, LICSW
- Brock James Lund
- Kevin Carlyle Lunde X
- Lundstrom Chiropractic Centers, Inc. (Midtown Chiropractic)
- Lundstrom Chirporactic Centers, Inc. (Serenity Home Care)
- Kent William Lundstrom, RPH
- Samuel Elijah Lupkes, OD
- M&T Sisters of Serendipity PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.