MEDICARE: LITCHFIELD ANESTHESIA GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1407722358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITCHFIELD ANESTHESIA GROUP LLC

Provider Business Mailing Address
First Line	:	15547 N REEMS RD BLDG A
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85374-9583
Country	:	US
Telephone Number	:	623-535-9777
Fax Number	:

Provider Business Practice Location Address
First Line	:	13575 W INDIAN SCHOOL RD STE 700
Second Line	:
City	:	LITCHFIELD PARK
State	:	AZ
Zip	:	85340-4905
Country	:	US
Telephone Number	:	623-535-9777
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	WENDI LUNDQUIST
Credential	:	DO
Telephone Number	:	623-535-9777

Provider Enumeration Date	:	10/16/2025
Last Update Date	:	10/16/2025

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