Provider Demographics
NPI:1235195819
Name:LUNDQUIST, MARIA TERESA (AUD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:TERESA
Last Name:LUNDQUIST
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11341 FRANCES DR
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-2731
Mailing Address - Country:US
Mailing Address - Phone:301-943-3318
Mailing Address - Fax:301-937-0488
Practice Address - Street 1:121 CONGRESSIONAL LN
Practice Address - Street 2:310
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1542
Practice Address - Country:US
Practice Address - Phone:301-943-3318
Practice Address - Fax:301-937-0488
Is Sole Proprietor?:No
Enumeration Date:2006-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00924237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCK270OtherCAREFIRST DC PROVIDER NO
MD508BPROtherCAREFIRST MD PROVIDER NO.
MD2133407OtherMAMSI PROVIDER NO.
MD491894Medicare ID - Type UnspecifiedMEDICARE GRP NUMBER