Individual
MARK ALLEN LUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 ANDOVER PARK E STE 8, TUKWILA, WA 98188-2938
(206) 575-3136
(206) 575-4892
Mailing address
832 NW 63RD ST, SEATTLE, WA 98107-2212
(503) 706-0572
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MT200993
PA
2083X0100X
Occupational Medicine Physician
Primary
60765772
WA
Other
Enumeration date
05/11/2011
Last updated
10/20/2020
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