Provider Demographics
NPI:1447479811
Name:LUNT, PAULA
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:
Last Name:LUNT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2999 OVERLAND AVE
Mailing Address - Street 2:SUITE #216
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-4255
Mailing Address - Country:US
Mailing Address - Phone:310-204-4567
Mailing Address - Fax:
Practice Address - Street 1:2999 OVERLAND AVE
Practice Address - Street 2:SUITE #216
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-4255
Practice Address - Country:US
Practice Address - Phone:310-204-4567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG510442084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry