Provider Demographics
NPI:1083278436
Name:LINDQUIST, ALEXI DEE (PA-C PHYSICIAN ASSIS)
Entity Type:Individual
Prefix:MRS
First Name:ALEXI
Middle Name:DEE
Last Name:LINDQUIST
Suffix:
Gender:F
Credentials:PA-C PHYSICIAN ASSIS
Other - Prefix:
Other - First Name:ALEXI
Other - Middle Name:DEE
Other - Last Name:BOPRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICIAN ASSISTANT
Mailing Address - Street 1:2090 WOODWINDS DR.
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125
Mailing Address - Country:US
Mailing Address - Phone:651-968-5142
Mailing Address - Fax:
Practice Address - Street 1:2620 EAGAN WOODS DR.
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55121
Practice Address - Country:US
Practice Address - Phone:651-968-5142
Practice Address - Fax:651-968-5903
Is Sole Proprietor?:No
Enumeration Date:2019-04-30
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN13010363AS0400X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant