Individual
STEPHEN NICHOLAS LUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
801 S 800 E, SALT LAKE CITY, UT 84102-3515
(801) 819-9084
Mailing address
801 S 800 E, SALT LAKE CITY, UT 84102-3515
(801) 410-4281
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11046583-9934
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
06/28/2017
Last updated
07/21/2022
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