Provider Demographics
NPI:1902929060
Name:LUNDQUIST, DAN T (MSW)
Entity Type:Individual
Prefix:MR
First Name:DAN
Middle Name:T
Last Name:LUNDQUIST
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 CHERRY CREEK DR S APT 415
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-3282
Mailing Address - Country:US
Mailing Address - Phone:720-323-5919
Mailing Address - Fax:
Practice Address - Street 1:2500 CHERRY CREEK DR S APT 415
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-3282
Practice Address - Country:US
Practice Address - Phone:720-323-5919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical