14213 GOLF COURSE DR STE 100
BAXTER, MN 56425-8432 US PECOS Enrolled
Overview
Hannah Lundstrom is a Dentist in the BAXTER area. Hannah Lundstrom primary office location is at 14213 GOLF COURSE DR STE 100 and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1164161949 and the information was updated approximately 2 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| D14730 | MN |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Dentist - Taxonomy Code 122300000X | MN | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | - |
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