Provider Demographics
NPI:1477641470
Name:DUNBAR, LYNN DUMOND (PT)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:DUMOND
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 WESTMARK BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-7376
Mailing Address - Country:US
Mailing Address - Phone:337-988-4444
Mailing Address - Fax:337-988-4478
Practice Address - Street 1:103 WESTMARK BLVD STE 4
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-7376
Practice Address - Country:US
Practice Address - Phone:337-988-4444
Practice Address - Fax:337-988-4478
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA00854225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist