MEDICARE: MR. ASHLEY LEE DUNN A.P., C.H.

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	171100000X	Acupuncturist	1089	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003038712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ASHLEY LEE DUNN A.P., C.H.

Provider Business Mailing Address
First Line	:	134 SW KNOX ST
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32025-5259
Country	:	US
Telephone Number	:	386-754-6793
Fax Number	:

Provider Business Practice Location Address
First Line	:	134 SW KNOX ST
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32025-5259
Country	:	US
Telephone Number	:	386-754-6793
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	03/21/2014

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