Provider Demographics
NPI:1497334734
Name:LUNSFORD, SUZANNA LYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNA
Middle Name:LYNN
Last Name:LUNSFORD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 STEELES FORT RD STE B
Mailing Address - Street 2:
Mailing Address - City:RAPHINE
Mailing Address - State:VA
Mailing Address - Zip Code:24472-2550
Mailing Address - Country:US
Mailing Address - Phone:540-851-1760
Mailing Address - Fax:540-851-1765
Practice Address - Street 1:735 STEELES FORT RD STE B
Practice Address - Street 2:
Practice Address - City:RAPHINE
Practice Address - State:VA
Practice Address - Zip Code:24472-2550
Practice Address - Country:US
Practice Address - Phone:540-851-1760
Practice Address - Fax:540-851-1765
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02022069961835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care