Provider Demographics
NPI:1255456992
Name:LUNSTED, LINDA L (LMSW)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:L
Last Name:LUNSTED
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:L
Other - Last Name:JAKWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:516 S CREYTS RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-8268
Mailing Address - Country:US
Mailing Address - Phone:517-819-8519
Mailing Address - Fax:
Practice Address - Street 1:516 S CREYTS RD
Practice Address - Street 2:SUITE F
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-8268
Practice Address - Country:US
Practice Address - Phone:517-819-8519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker