NPI 1154647055

Michael Dennis Lunt, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Peoria, IL

Practice location

Address: 530 NE Glen Oak Ave, Peoria, IL 61637-0001
Phone: (309) 624-9011
Fax: (309) 624-9152
Mailing address: PO Box 9817, Peoria, IL 61612-9817

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 036138087 (IL)

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Registry record

NPI: 1154647055
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Apr 2010
Record last updated: 17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.