Provider Demographics
NPI:1780550053
Name:LUNFORD, JAMESHA
Entity type:Individual
Prefix:
First Name:JAMESHA
Middle Name:
Last Name:LUNFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S SECOND AVE APT B
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:MS
Mailing Address - Zip Code:38732-2547
Mailing Address - Country:US
Mailing Address - Phone:662-402-9596
Mailing Address - Fax:
Practice Address - Street 1:101 S SECOND AVE APT B
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:MS
Practice Address - Zip Code:38732-2547
Practice Address - Country:US
Practice Address - Phone:662-402-9596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS246RM2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory