Provider Demographics
NPI:1366537961
Name:LUNSFORD, KAREN ANNE (DMD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ANNE
Last Name:LUNSFORD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 WILLIMANSETT ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-3062
Mailing Address - Country:US
Mailing Address - Phone:413-540-9500
Mailing Address - Fax:413-540-9505
Practice Address - Street 1:32 WILLIMANSETT ST
Practice Address - Street 2:
Practice Address - City:SOUTH HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01075-3062
Practice Address - Country:US
Practice Address - Phone:413-540-9500
Practice Address - Fax:413-540-9505
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA195281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice