Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0700X | Prosthodontist | 4166 | WI |
Y | 1223P0700X | Prosthodontist | 7732 | IA |
N | 1223P0700X | Prosthodontist | D10491 | MN |
NPI | 1114021128 |
---|---|
Provider Name | Dr. Terry J Lindquist |
First Address | Iowa City, IA 52242-1001 |
Second Address | Iowa City, IA 52242-1001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1116335 | (05) | IA |