Individual
DR. TIFFANY A LUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1050 GAIL GARDNER WAY STE 100, PRESCOTT, AZ 86305-1631
(928) 777-0700
(928) 778-5507
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(928) 777-0700
(928) 778-5507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36387
AZ
207Q00000X
Family Medicine Physician
N4561
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108878
—
AZ
01
—
36387
AZ LICENSE
AZ
Enumeration date
01/20/2006
Last updated
07/21/2022
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