Individual
LAWRENCE LINDQUIST III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12997 NETTLES DR, NEWPORT NEWS, VA 23602-6913
(757) 249-8880
Mailing address
12997 NETTLES DR, NEWPORT NEWS, VA 23602-6913
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A1393
KY
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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