Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lori B Listug-Lunde, PHDLP

Individual provider Clinical Child & Adolescent Psychologist · NPI 1306944384

Lori B Listug-Lunde, PHDLP is a Clinical Psychologist in St Cloud, Minnesota. Qualified in 2004, 22 years ago. Accepts Medicare assignment. Licensed in Delaware and Minnesota.

Years since qualifying
22
Licensed in
DE, MN
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

1900 Centracare Cir
St Cloud, MN 56303
Phone: (320) 255-5796
Fax: (320) 229-5179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence LP4748 (MN)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence B10000729 (DE)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence LP 4748 (MN)

Record details

NPI number1306944384
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHDLP
Sole proprietorNo
NPI enumeratedSeptember 21, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1406 6th Ave N, St Cloud, MN 56303

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in St Cloud