Individual
DR. LAWRENCE E NEWQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1203 WEST DELMAR, GODFREY, IL 62035
(618) 466-3140
(618) 466-4798
Mailing address
1203 WEST DELMAR, GODFREY, IL 62035
(618) 466-3140
(618) 466-4798
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
01918191
IL
Other
Enumeration date
05/21/2007
Last updated
11/09/2007
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