Provider Demographics
NPI:1750472726
Name:LUNDQUIST, ANNE E (DC)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:E
Last Name:LUNDQUIST
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 E CHAPMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92866-1603
Mailing Address - Country:US
Mailing Address - Phone:714-633-1648
Mailing Address - Fax:714-639-6351
Practice Address - Street 1:516 E CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92866-1603
Practice Address - Country:US
Practice Address - Phone:714-633-1648
Practice Address - Fax:714-639-6351
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20687111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC20687Medicare PIN