IndividualActive
Alex Lunneborg, PA-C
NPI 1962072645 · Physician Assistant · West Fargo, ND
Provider details
- NPI number
- 1962072645
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Practice location
350 23rd Ave E Ste 102
West Fargo, ND 58078-7402
Phone: (701) 707-0200
Fax: (701) 707-0210
Mailing address
350 23rd Ave E Ste 102
West Fargo, ND 58078-7402
Registry dates
- Enumerated
- 2021-06-25
- Last updated
- 2024-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.