Individual
DIANA LEIGH LUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2107 LIBERTY ST, CHESAPEAKE, VA 23324-3527
(757) 494-7600
(757) 494-7573
Mailing address
213 E 40TH ST, NORFOLK, VA 23504-1007
(757) 287-6817
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813001069
VA
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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