MEDICARE: DR. ANDREA MARIE LINDQUIST DC, MPH

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	111N00000X	Chiropractor	2026005269	MO

General Provider Information

NPI Number	:	1457382749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREA MARIE LINDQUIST DC, MPH

Provider Business Mailing Address
First Line	:	12401 OLIVE BLVD STE 103
Second Line	:
City	:	CREVE COEUR
State	:	MO
Zip	:	63141-5448
Country	:	US
Telephone Number	:	314-439-0777
Fax Number	:	314-439-0166

Provider Business Practice Location Address
First Line	:	12401 OLIVE BLVD STE 103
Second Line	:
City	:	CREVE COEUR
State	:	MO
Zip	:	63141-5448
Country	:	US
Telephone Number	:	314-439-0777
Fax Number	:	314-439-0166

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	02/05/2026

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