Provider Demographics
NPI:1669491080
Name:LUNSFORD, MARY JULIA OGDEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:JULIA OGDEN
Last Name:LUNSFORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JULIA
Other - Middle Name:OGDEN
Other - Last Name:LUNSFORD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:223 FOREST RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27605-1757
Mailing Address - Country:US
Mailing Address - Phone:919-280-8719
Mailing Address - Fax:
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:UNC HEALTHCARE
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:919-280-8719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC329472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry