| Mckenzie Jo Lund, RD, LD | |
|
6385 Old Shady Oak Rd Ste 250, Eden Prairie, MN 55344-7705 | |
| (507) 320-4610 | |
| (612) 206-8232 |
| Full Name | Mckenzie Jo Lund |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 6385 Old Shady Oak Rd Ste 250, Eden Prairie, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679119341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 4235 (Minnesota) | Primary |
| Provider Name | Emily Program P C |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1528165065 PECOS PAC ID: 5193623254 Enrollment ID: O20031229000014 |
| Provider Name | Necessary Nutrition LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952992984 PECOS PAC ID: 4385050996 Enrollment ID: O20210305001474 |
| Mailing Address | Practice Location Address |
|---|---|
| Mckenzie Jo Lund, RD, LD 6385 Old Shady Oak Rd Ste 250, Eden Prairie, MN 55344-7705 Ph: (507) 320-4610 | Mckenzie Jo Lund, RD, LD 6385 Old Shady Oak Rd Ste 250, Eden Prairie, MN 55344-7705 Ph: (507) 320-4610 |
Kelly Olzenak, MPH, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11000 Optum Cir, Eden Prairie, MN 55344 Phone: 612-619-9057 |
Rachel Tetlie Boyer, Dietitian Medicare: Medicare Enrolled Practice Location: 16221 Westgate Trl, Eden Prairie, MN 55344 Phone: 651-402-3882 |
Fernanda Sena Matsuda, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 6400 Flying Cloud Dr Ste 213, Eden Prairie, MN 55344 Phone: 612-564-8101 |
Maggie Marie Sazama, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344 Phone: 952-746-2522 Fax: 952-746-0887 |
Alison Purkey, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11000 Optum Cir, Eden Prairie, MN 55344 Phone: 952-205-6883 |
Fernanda Matsuda, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 6400 Flying Cloud Dr Ste 213, Eden Prairie, MN 55344 Phone: 612-564-8101 |
Kayla Huslebus, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9600 Squire Ln, Eden Prairie, MN 55347 Phone: 952-261-9843 |