Individual
JEFFREY J LUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3269 STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-2101
Mailing address
3269 STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 897-9799
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2000234
NM
207L00000X
Anesthesiology Physician
20495
AZ
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
20495
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25691
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B4324
—
NM
Enumeration date
04/17/2006
Last updated
09/20/2023
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