Provider Demographics
NPI:1265903116
Name:VALMORES, LYNNDOH (FNP)
Entity type:Individual
Prefix:MR
First Name:LYNNDOH
Middle Name:
Last Name:VALMORES
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7959 S LAUDER ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85747-9267
Mailing Address - Country:US
Mailing Address - Phone:520-481-7913
Mailing Address - Fax:
Practice Address - Street 1:7959 S LAUDER ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85747-9267
Practice Address - Country:US
Practice Address - Phone:520-481-7913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-17
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZF12180436363LF0000X
AZ220281363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily