Individual
CYNTHIA LUFKIN UNDESSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
402 WESLEY AVE, JACKSON, MS 39202-1000
(601) 360-0583
(601) 360-0585
Mailing address
402 WESLEY AVE, JACKSON, MS 39202-1000
(601) 360-0583
(601) 360-0585
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
11891
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117736
—
MS
01
—
G5719
MEDICAL LICENSURE
TX
Enumeration date
01/31/2007
Last updated
07/09/2007
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