Individual
SHANE LYNN LUNSFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1320 SW 24TH ST, OKLAHOMA CITY, OK 73108-7802
(140) 590-5336
Mailing address
1320 SW 24TH ST, OKLAHOMA CITY, OK 73108-7802
(140) 590-5336
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
09/16/2014
Last updated
04/28/2026
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