Doctor Name: | MRS. BONITA B LUNDQUIST |
NPI Number: | 1679678304 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | R015428 |
Business Practice Address: | 10 Wayman Ln Mount Desert Island Hospital Bar Harbor, ME - 046091625 |
Business Phone Number: | 2072885081 |
Business Fax Number: | |
Mailing Address: | 3 Norman Rd, BAR HARBOR |
State: | ME |
Postal Code: | 046091113 |
Phone Number: | 2078012556 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 03/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | R015428 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |