Provider Demographics
NPI:1093084899
Name:LUNSFORD, RACHEL LEE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:LEE
Last Name:LUNSFORD
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 WHITEWATER DR
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:OH
Mailing Address - Zip Code:45030-1440
Mailing Address - Country:US
Mailing Address - Phone:513-362-9669
Mailing Address - Fax:
Practice Address - Street 1:203 WHITEWATER DR
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:OH
Practice Address - Zip Code:45030-1440
Practice Address - Country:US
Practice Address - Phone:513-362-9669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-22
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH143437164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse