Individual
PENNY LANELL LUNSFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 HIGHWAY 53 E, DAWSONVILLE, GA 30534
(706) 265-2611
(706) 265-1636
Mailing address
54 HIGHWAY 53 E, DAWSONVILLE, GA 30534
(706) 265-2611
(706) 265-1636
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN077155
GA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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