Provider Demographics
NPI:1386782092
Name:LUNSFORD, PATRICIA A (PT)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:A
Last Name:LUNSFORD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:488 E 11TH AVE
Mailing Address - Street 2:STE 150A
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-3601
Mailing Address - Country:US
Mailing Address - Phone:541-505-8180
Mailing Address - Fax:541-505-7134
Practice Address - Street 1:1180 PATTERSON ST
Practice Address - Street 2:STE 3A
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3619
Practice Address - Country:US
Practice Address - Phone:541-505-8180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5364225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist