Organization Name: | LINDQUIST FAMILY FOOT CARE, INC |
NPI Number: | 1588732796 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRISTEN A LINDQUIST (PRESIDENT) |
Mailing Address: | 141 E College Ave Pleasant Gap |
State: | PA US |
Postal Code: | 168233352 |
Phone Number: | 8143593259 |
Fax Number: | 8143593330 |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |