Doctor Name: | LAURA ELIZABETH LUNDQUIST |
NPI Number: | 1164653101 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | 7106614-3501 |
Business Practice Address: | 3444 W 4400 S West Valley City, UT - 841195644 |
Business Phone Number: | 3856464842 |
Business Fax Number: | 3856464843 |
Mailing Address: | 3444 W 4400 S, WEST VALLEY CITY |
State: | UT |
Postal Code: | 841195644 |
Phone Number: | 3856464842 |
Fax Number: | 3856464843 |
NPI Enumeration Date: | 08/06/2009 |
NPI Last Update Date: | 09/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 7106614-3501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |