Fred A Lundquist, OD

NPI #1184675415 in Melbourne, Florida

Provider Information

NPI Number: 1184675415
Entity Type: Individual
Name: Fred A Lundquist, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: May 12, 2006
Last Updated: Nov 15, 2011

Practice Location

Address: 502 E. NEW HAVEN AVE.
City: Melbourne
State: Florida
ZIP Code: 32901-5427
Phone: (321) 727-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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