Individual
DR. SLADE ALLEN LINDQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(402) 203-7533
Mailing address
550 POPE AVENUE, FORT LEAVENWORTH, KS 66027-2332
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1164
NE
Other
Enumeration date
07/26/2005
Last updated
02/14/2023
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