Individual
JORDAN LUNSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 TRENT DR, DURHAM, NC 27705-3904
(919) 684-4248
Mailing address
307 TRENT DR, DURHAM, NC 27710-3038
(336) 681-3081
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
332722
NC
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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