Doctor Name: | MISS JENNIFER E LUNCEFORD |
NPI Number: | 1558428417 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OCCUPATION THERAPIST |
License Number: | 5587 |
Business Practice Address: | 5567 N Croatan Highway Kitty Hawk, NC - 27949 |
Business Phone Number: | 2522611556 |
Business Fax Number: | 2522616161 |
Mailing Address: | 101 Medical Drive, ELIZABETH CITY |
State: | NC |
Postal Code: | 27909 |
Phone Number: | 2523382114 |
Fax Number: | 2523382115 |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 06/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 5587 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |