Provider Demographics
NPI:1821349275
Name:LUNDE, ERIN HADE (MT-BC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:HADE
Last Name:LUNDE
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3509 25TH AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-2535
Mailing Address - Country:US
Mailing Address - Phone:612-251-0495
Mailing Address - Fax:
Practice Address - Street 1:3509 25TH AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-2535
Practice Address - Country:US
Practice Address - Phone:612-251-0495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist