Provider Demographics
NPI:1407722358
Name:LITCHFIELD ANESTHESIA GROUP LLC
Entity type:Organization
Organization Name:LITCHFIELD ANESTHESIA GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:WENDI
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNDQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:623-535-9777
Mailing Address - Street 1:15547 N REEMS RD BLDG A
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-9583
Mailing Address - Country:US
Mailing Address - Phone:623-535-9777
Mailing Address - Fax:
Practice Address - Street 1:13575 W INDIAN SCHOOL RD STE 700
Practice Address - Street 2:
Practice Address - City:LITCHFIELD PARK
Practice Address - State:AZ
Practice Address - Zip Code:85340-4905
Practice Address - Country:US
Practice Address - Phone:623-535-9777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty