Provider Demographics
NPI:1851646830
Name:LUNSFORD, DAVID ALAN JR (DPT)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALAN
Last Name:LUNSFORD
Suffix:JR
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:655 SOUTH 7TH STREET BLDG 700/700-A
Mailing Address - Street 2:78 MDG/SGOY
Mailing Address - City:ROBINS AFB
Mailing Address - State:GA
Mailing Address - Zip Code:31098
Mailing Address - Country:US
Mailing Address - Phone:478-327-7798
Mailing Address - Fax:
Practice Address - Street 1:655 SOUTH 7TH ST BLDG 700/700-A
Practice Address - Street 2:78 MDG/SGOY
Practice Address - City:ROBINS AFB
Practice Address - State:GA
Practice Address - Zip Code:31098
Practice Address - Country:US
Practice Address - Phone:478-327-8487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-17
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT010668225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist