Provider Demographics
NPI:1013801190
Name:CRUNDEN, LAUREN BERNICE (LPN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:BERNICE
Last Name:CRUNDEN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8725 COUNTRY CLUB RD NE TRLR 508
Mailing Address - Street 2:
Mailing Address - City:BEMIDJI
Mailing Address - State:MN
Mailing Address - Zip Code:56601-4377
Mailing Address - Country:US
Mailing Address - Phone:763-274-8056
Mailing Address - Fax:
Practice Address - Street 1:6247 LOWER CASS FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:CASS LAKE
Practice Address - State:MN
Practice Address - Zip Code:56633-3059
Practice Address - Country:US
Practice Address - Phone:218-341-8272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN824409164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse