Provider Demographics
NPI:1346539186
Name:LINDQUIST, CARL WARREN (MD)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:WARREN
Last Name:LINDQUIST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 23
Mailing Address - Street 2:
Mailing Address - City:CHAPLIN
Mailing Address - State:CT
Mailing Address - Zip Code:06235-0023
Mailing Address - Country:US
Mailing Address - Phone:860-455-9914
Mailing Address - Fax:860-455-0395
Practice Address - Street 1:127 CHAPLIN ST
Practice Address - Street 2:
Practice Address - City:CHAPLIN
Practice Address - State:CT
Practice Address - Zip Code:06235-0023
Practice Address - Country:US
Practice Address - Phone:860-455-9914
Practice Address - Fax:869-455-0395
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT016567207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology