Lundquist, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

24005 Issued in MN

Legal business name

LUNDQUIST, PA

Practice address

6545 France Ave S
Suite 480
Edina, MN 55435-2131

Phone

(612) 347-3744

NPI assigned

Mar 31, 2009

Organization subpart

No

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

Authorized official

Name

Kipton Lundquist

Title

Owner/MD

Phone

(612) 347-3744

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1891937215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 E BUSH LAKE RD",
            "address_2": "SUITE 320",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554393120",
            "telephone_number": "952-831-5773",
            "fax_number": "952-831-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVE S",
            "address_2": "SUITE 480",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352131",
            "telephone_number": "612-347-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNDQUIST, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "LUNDQUIST",
        "authorized_official_first_name": "KIPTON",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "612-347-3744"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MN",
            "license": "24005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyle E Lundblad, DO
• Tara Lunde, LGSW
• Max Joseph Miller Lundeen, PA-C
• Brianna Lundgren
• Alyssa Lundquist, PT
• Xueyan Luo
• Jacqueline A Luong, MEDICAL DOCTOR
• Nathan Michael Luscri, MD
• James D. Lutz, M.D.
• Luxottica of America Inc (Target Optical #C4437)

• Specialist in Edina, MN
• Providers in Edina, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.