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Contact Information

STEPHEN N LUNDQUIST, OD
801 S 800 E
SALT LAKE CITY, UT84102-3515
 Phone: 801-819-9084
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for STEPHEN N LUNDQUIST · (Male)

NPI # 1891216909
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/28/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 11046583-9934
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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