Provider Demographics
NPI:1003038712
Name:DUNN, ASHLEY LEE (AP, CH)
Entity Type:Individual
Prefix:MR
First Name:ASHLEY
Middle Name:LEE
Last Name:DUNN
Suffix:
Gender:M
Credentials:AP, CH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 SW KNOX ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32025-5259
Mailing Address - Country:US
Mailing Address - Phone:386-754-6793
Mailing Address - Fax:
Practice Address - Street 1:134 SW KNOX ST
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32025-5259
Practice Address - Country:US
Practice Address - Phone:386-754-6793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1089171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist