Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethany K Lund, PHYSICIANASSISTANT

Individual provider Family Medicine Physician · NPI 1316609290

Bethany K Lund, PHYSICIANASSISTANT is a Family Medicine Physician in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021
Specialties on file
2

Practice location Address checks out

640 Jackson St
Saint Paul, MN 55101-2502
Phone: (651) 254-4887
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13864 (MN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 13864 (MN)

Record details

NPI number1316609290
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 8, 2021
Last updated in NPPESNovember 30, 2022
Certification dateNovember 30, 2022
Mailing address8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516

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