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Individual

DR. MICHAEL BRAYDEN LUNDQUIST

Active
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Individual

DR. MICHAEL BRAYDEN LUNDQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD, FAAO, FSLS

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
10186731-9934
UT
152WC0802X
Corneal and Contact Management Optometrist
Primary
2115
AZ
152WC0802X
Corneal and Contact Management Optometrist
3222
TN

Other

Enumeration date
07/06/2015
Last updated
03/01/2018
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