Individual
MISS JENNIFER E LUNCEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCUPATION THERAPIST
Contact information
Practice address
5567 N CROATAN HIGHWAY, KITTY HAWK, NC 27949
(252) 261-1556
(252) 261-6161
Mailing address
101 MEDICAL DRIVE, ELIZABETH CITY, NC 27909
(252) 338-2114
(252) 338-2115
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5587
NC
225XH1200X
Hand Occupational Therapist
5587
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140RE
BCBS
NC
05
—
7301850
—
NC
Enumeration date
01/02/2007
Last updated
06/19/2008
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