Individual
ALI LUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU
Contact information
Practice address
2421 W 21ST STREET SUITE B, CLOVIS, NM 88101-2006
(310) 825-5721
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
8665231-4101
UT
231H00000X
Audiologist
Primary
AUD7783
NM
237600000X
Audiologist-Hearing Aid Fitter
AU2795
CA
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Enumeration date
07/16/2012
Last updated
09/23/2022
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