Provider Demographics
NPI:1457661704
Name:LUNSFORD, SARAH MERRITT (AUD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MERRITT
Last Name:LUNSFORD
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7159 SPAYSIDE DR N
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-4110
Mailing Address - Country:US
Mailing Address - Phone:765-938-2027
Mailing Address - Fax:
Practice Address - Street 1:121 E 3RD ST STE C
Practice Address - Street 2:
Practice Address - City:RUSHVILLE
Practice Address - State:IN
Practice Address - Zip Code:46173-2209
Practice Address - Country:US
Practice Address - Phone:765-938-2027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-19
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23002487A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist