Lundquist, Albert Lee
Lundquist, Albert Lee is an individual health care provider with primary practice located at 3312 Battleground Ave , Greensboro NC 27410-2402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Lundquist, Albert Lee can be contacted via phone (336) 282-5000.Contact Information
Primary practice address
3312 Battleground Ave
Greensboro NC 27410-2402
Phone: (336) 282-5000
Fax: (336) 545-9792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 100986 | North Carolina |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0110840384 | Virginia |
Profile Details
| NPI number | 1295727634 |
|---|---|
| LBN Legal business name | Lundquist, Albert Lee |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Feb 4th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295727634 | NPPES |
| North Carolina | Other | 561783008 | TAX ID |
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