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NPI Code Detail

MEDICARE: LYNDA GONZALES LMT

MEDICARE: LYNDA GONZALES LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172M00000XMechanotherapist

General Provider Information

NPI Number : 1528868312
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNDA GONZALES LMT
Provider Business Mailing Address
First Line : 6700 N ORACLE RD STE 501
Second Line :
City : TUCSON
State : AZ
Zip : 85704-7735
Country : US
Telephone Number : 520-649-0090
Fax Number :
Provider Business Practice Location Address
First Line : 6700 N ORACLE RD STE 501
Second Line :
City : TUCSON
State : AZ
Zip : 85704-7735
Country : US
Telephone Number : 520-649-0090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2025
Last Update Date : 03/19/2025

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