Provider Demographics
NPI:1992186134
Name:ATTUNE INTEGRATIVE MEDICINE
Entity Type:Organization
Organization Name:ATTUNE INTEGRATIVE MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:HURST
Authorized Official - Last Name:DAEM
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:480-201-6253
Mailing Address - Street 1:6743 E OCUPADO DR
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-5787
Mailing Address - Country:US
Mailing Address - Phone:480-201-6253
Mailing Address - Fax:
Practice Address - Street 1:6743 E OCUPADO DR
Practice Address - Street 2:
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-5787
Practice Address - Country:US
Practice Address - Phone:480-201-6253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-13
Last Update Date:2015-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0918291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory