Healthcare Provider Details

I. General information

NPI: 1891284683
Provider Name (Legal Business Name): DANIEL RYAN LUNSFORD DNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2018
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 LOCUST ST
PITTSBURGH PA
15219-5114
US

IV. Provider business mailing address

1400 LOCUST ST STE 6545
PITTSBURGH PA
15219-5114
US

V. Phone/Fax

Practice location:
  • Phone: 412-647-2811
  • Fax:
Mailing address:
  • Phone: 412-232-8679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberSP018990
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN620925
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: