# LYNNELL P GARDNER MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316071822
- **Authorized official:** LYNNELL P GARDNER MD (OWNER PRESIDENT)
- **Authorized official phone:** (520) 298-2313

## Contact information

- **Practice address:** 6761 E TANQUE VERDE RD, SUITE 6, TUCSON, AZ 85715-5323
- **Practice address phone:** (520) 298-2313
- **Practice address fax:** (520) 298-1554
- **Mailing address:** PO BOX 43100, TUCSON, AZ 85733-3100
- **Mailing address phone:** (520) 722-3777
- **Mailing address fax:** (520) 296-6224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 18444 | AZ | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 08/22/2020