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NPI Code Detail

MEDICARE: ASIA R LUNDQUIST L.M.T.

MEDICARE:   ASIA R LUNDQUIST  L.M.T.
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
1174400000XSpecialistMA 60581530WA

General Provider Information

NPI Number : 1831559285
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASIA R LUNDQUIST L.M.T.
Provider Business Mailing Address
First Line : 9403 121ST ST SW
Second Line :
City : LAKEWOOD
State : WA
Zip : 98498-1207
Country : US
Telephone Number : 253-208-9012
Fax Number :
Provider Business Practice Location Address
First Line : 8520 STEILACOOM BLVD SW STE 101
Second Line :
City : LAKEWOOD
State : WA
Zip : 98498-4773
Country : US
Telephone Number : 253-507-7564
Fax Number : 253-625-7241
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2016
Last Update Date : 01/21/2019

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Directions to “ ASIA R LUNDQUIST L.M.T.” Practice Location

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