Provider Demographics
NPI:1922326222
Name:LUNSFORD, ELIZABETH ROSE (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ROSE
Last Name:LUNSFORD
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Gender:F
Credentials:MD
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Mailing Address - Street 1:856 J CLYDE MORRIS BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:757-594-4006
Mailing Address - Fax:757-534-5190
Practice Address - Street 1:7547 MEDICAL DR
Practice Address - Street 2:SUITE 1200
Practice Address - City:GLOUCESTER
Practice Address - State:VA
Practice Address - Zip Code:23061-4351
Practice Address - Country:US
Practice Address - Phone:804-693-2670
Practice Address - Fax:804-693-3704
Is Sole Proprietor?:No
Enumeration Date:2010-05-11
Last Update Date:2014-06-24
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Provider Licenses
StateLicense IDTaxonomies
VA0101255935207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology