Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 30179 | AL |
N | 208000000X | Pediatrician | LL29913 | SC |
Y | 2080P0205X | Pediatric Endocrinologist | P6213 | TX |
NPI | 1184824286 |
---|---|
Provider Name | Alison Joan Lunsford |
First Address | Amarillo, TX 79106-1708 |
Second Address | Amarillo, TX 79106-1786 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2007 |
Last Update Date | 30/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
119105 | (05) | AL |
200490520 A | (05) | OK |
28836049 | (05) | NM |
317166201 | (05) | TX |
317166202 | (05) | TX |