Provider Demographics
NPI:1265903165
Name:LUNN, DUSTIN (DC)
Entity type:Individual
Prefix:DR
First Name:DUSTIN
Middle Name:
Last Name:LUNN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 CHARTIERS ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-2033
Mailing Address - Country:US
Mailing Address - Phone:412-221-3232
Mailing Address - Fax:412-221-7811
Practice Address - Street 1:425 CHARTIERS ST
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-2033
Practice Address - Country:US
Practice Address - Phone:412-221-3232
Practice Address - Fax:412-221-7811
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011433111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor