Healthcare Provider Details

I. General information

NPI: 1427290097
Provider Name (Legal Business Name): LUNINGNING BARFIELD M.O.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2009
Last Update Date: 03/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3945 SW 328TH PL
FEDERAL WAY WA
98023-2641
US

IV. Provider business mailing address

3945 SW 328TH PL
FEDERAL WAY WA
98023-2641
US

V. Phone/Fax

Practice location:
  • Phone: 253-815-0562
  • Fax:
Mailing address:
  • Phone: 253-815-0562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0400X
TaxonomyRehabilitation Registered Nurse
License NumberTL60075093
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: