Individual
MRS. TERESA ANN LUNSFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
515 JOHNSON AVE, BRIDGEPORT, WV 26330-1311
(304) 842-3693
Mailing address
306 PENNSYLVANIA AVE, BRIDGEPORT, WV 26330-1544
(304) 677-0452
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/16/2006
Last updated
07/08/2007
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