1831525336 NPI number — MRS. BECKY KAY LUNSFORD

Table of content: MRS. BECKY KAY LUNSFORD (NPI 1831525336)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831525336 NPI number — MRS. BECKY KAY LUNSFORD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LUNSFORD
Provider First Name:
BECKY
Provider Middle Name:
KAY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
VIGNOLO
Provider Other First Name:
BECKY
Provider Other Middle Name:
KAY
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1831525336
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/17/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
650 S. 4TH STREET
Provider Second Line Business Mailing Address:
FAMILY SOLUTIONS
Provider Business Mailing Address City Name:
CENTRAL POINT
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97502
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
541-665-0359
Provider Business Mailing Address Fax Number:
541-665-0358

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
640 S. 2ND STREET
Provider Second Line Business Practice Location Address:
FAMILY SOLUTIONS
Provider Business Practice Location Address City Name:
CENTRAL POINT
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-665-0359
Provider Business Practice Location Address Fax Number:
541-665-0358
Provider Enumeration Date:
09/17/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)