Provider Demographics
NPI:1669683967
Name:LUNDQUIST, CHRISTOPHER ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ALAN
Last Name:LUNDQUIST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 MAYWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516
Mailing Address - Country:US
Mailing Address - Phone:513-509-5074
Mailing Address - Fax:
Practice Address - Street 1:87 MCGREGOR STREET
Practice Address - Street 2:SUITE 3100
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-3731
Practice Address - Country:US
Practice Address - Phone:603-627-1887
Practice Address - Fax:603-627-1890
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH17837208600000X
NC2012-01184208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5921034Medicaid
NC5921034Medicaid