Individual
MR. NOEL ANTHONY LUNSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
290 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2654
(601) 823-1710
(601) 825-8130
Mailing address
290 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2654
(601) 823-1710
(601) 825-8130
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A116795
IA
363LF0000X
Family Nurse Practitioner
R878488
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07106761
—
MS
05
—
1316942790
—
IA
Enumeration date
06/14/2005
Last updated
06/19/2013
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