Stacey Caroline Lunsford, | |
901 W Main St, Yadkinville, NC 27055-7807 | |
(855) 983-0488 | |
Not Available |
Full Name | Stacey Caroline Lunsford |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 901 W Main St, Yadkinville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326782731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 14859 (North Carolina) | Primary |
Provider Name | Kidology Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730591991 PECOS PAC ID: 3476943887 Enrollment ID: O20211129001112 |
Mailing Address | Practice Location Address |
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Stacey Caroline Lunsford, 138 Ridge Meadow Loop, Stony Point, NC 28678-9228 Ph: (704) 881-3236 | Stacey Caroline Lunsford, 901 W Main St, Yadkinville, NC 27055-7807 Ph: (855) 983-0488 |
Jennifer Trotter, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 903 W Main St, Yadkinville, NC 27055 Phone: 336-679-8863 | |
Mrs. Amanda Weatherman Parsons, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 E Lee Ave, Yadkinville, NC 27055 Phone: 336-849-4072 | |
Mr. Christopher Robert Shinkle, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 903 W Main St, Yadkinville, NC 27055 Phone: 336-677-1345 | |
Denny E Bischof, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 903 W Main St, Yadkinville, NC 27055 Phone: 336-679-8863 | |
Audrey Nowlin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 903 W Main St, Yadkinville, NC 27055 Phone: 336-679-8863 |