Provider Demographics
NPI:1750342044
Name:LINDQUIST, VALDEMAR (MD)
Entity type:Individual
Prefix:DR
First Name:VALDEMAR
Middle Name:
Last Name:LINDQUIST
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 1:4200 W CONEJOS PL
Mailing Address - Street 2:300
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-1333
Mailing Address - Country:US
Mailing Address - Phone:303-893-8300
Mailing Address - Fax:303-825-7927
Practice Address - Street 1:4200 W CONEJOS PL
Practice Address - Street 2:300
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-1333
Practice Address - Country:US
Practice Address - Phone:303-893-8300
Practice Address - Fax:303-825-7927
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO18728207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1187285Medicaid
COD23483Medicare UPIN
CO473788Medicare ID - Type Unspecified