Provider Demographics
NPI:1417389925
Name:LUNT, RYAN BROUGHTON (DVM)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:BROUGHTON
Last Name:LUNT
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 W UNION HILLS DR STE 105
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-5633
Mailing Address - Country:US
Mailing Address - Phone:623-849-0700
Mailing Address - Fax:
Practice Address - Street 1:520 W UNION HILLS DR STE 105
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-5633
Practice Address - Country:US
Practice Address - Phone:623-849-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4423174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian