Provider Demographics
NPI:1912537671
Name:LUNSFORD, CYNTHIA L (RN)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:L
Last Name:LUNSFORD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1348 UNION RD
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-9573
Mailing Address - Country:US
Mailing Address - Phone:419-921-1473
Mailing Address - Fax:
Practice Address - Street 1:1348 UNION RD
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-9573
Practice Address - Country:US
Practice Address - Phone:419-921-1473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN300340163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRN300340OtherNURSING