Individual
MICHAEL DENNIS LUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-9011
(309) 624-9152
Mailing address
PO BOX 9817, PEORIA, IL 61612-9817
(585) 273-4580
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036138087
IL
Other
Enumeration date
04/16/2010
Last updated
03/17/2018
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