Lauri Lundquist, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

4704187451 Issued in MI

Practice address

2766 W 11 Mile Rd
Suite 2
Berkley, MI 48072-3033

Phone

(248) 542-2424

Fax

(248) 542-5621

NPI assigned

Aug 19, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1659747103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2766 W 11 MILE RD",
            "address_2": "SUITE 2",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480723033",
            "telephone_number": "248-542-2424",
            "fax_number": "248-542-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2766 W 11 MILE RD",
            "address_2": "SUITE 2",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480723033",
            "telephone_number": "248-542-2424",
            "fax_number": "248-542-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDQUIST",
        "first_name": "LAURI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MI",
            "license": "4704187451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Registered Nurse in Berkley, MI
• Providers in Berkley, MI by specialty
• Pediatric Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.