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Contact Information

MICHAEL B LUNDQUIST, OD, FAAO, FSLS
2580 N LITCHFIELD RD
GOODYEAR, AZ85395-2049
 Phone: 623-932-2020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for MICHAEL B LUNDQUIST · (Male)

NPI # 1013390285
Status Active
Credentials OD, FAAO, FSLS
Entity Individual
Enumeration date 07/06/2015
Last updated 03/01/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 2115
  • TN License # 3222
  • UT License # 10186731-9934
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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