Provider Demographics
NPI:1528868312
Name:GONZALES, LYNDA (LMT)
Entity type:Individual
Prefix:
First Name:LYNDA
Middle Name:
Last Name:GONZALES
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6700 N ORACLE RD STE 501
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-7735
Mailing Address - Country:US
Mailing Address - Phone:520-649-0090
Mailing Address - Fax:
Practice Address - Street 1:6700 N ORACLE RD STE 501
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-7735
Practice Address - Country:US
Practice Address - Phone:520-649-0090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist