Healthcare Provider Details

I. General information

NPI: 1962484311
Provider Name (Legal Business Name): MICHAEL J LUNSFORD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1890 AL HIGHWAY 157 STE 430
CULLMAN AL
35058-0689
US

IV. Provider business mailing address

1890 AL HIGHWAY 157 STE 430
CULLMAN AL
35058-0689
US

V. Phone/Fax

Practice location:
  • Phone: 256-739-1575
  • Fax: 256-517-9328
Mailing address:
  • Phone: 256-739-1575
  • Fax: 256-517-9328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number22073
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number22073
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: