MEDICARE: LUNCEFORD FAMILY HEALTH CENTER P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center		TN
2	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1184711590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUNCEFORD FAMILY HEALTH CENTER P.C.

Provider Business Mailing Address
First Line	:	7865 EDUCATORS LN STE 110
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38133-8191
Country	:	US
Telephone Number	:	901-384-9920
Fax Number	:	901-937-7879

Provider Business Practice Location Address
First Line	:	7865 EDUCATORS LN STE 110
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38133-8191
Country	:	US
Telephone Number	:	901-384-9920
Fax Number	:	901-937-7879

Authorized Official
Title or Position	:	OWNER
Name	:	SHOAIB QURESHI
Credential	:	M.D.
Telephone Number	:	901-384-9920

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	07/26/2024

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Directions to “LUNCEFORD FAMILY HEALTH CENTER P.C. ” Practice Location

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