Individual
MRS. JACQUELINE M LUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 N 1900 E RM 4A100, SALT LAKE CITY, UT 84132-0002
(801) 213-2387
(801) 581-7735
Mailing address
30 N 1900 E RM 4A100, SALT LAKE CITY, UT 84132-0002
(801) 585-7676
(801) 581-7735
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8756715-1206
UT
363A00000X
Physician Assistant
PA06651
TX
Other
Enumeration date
03/07/2010
Last updated
04/15/2015
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