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NPI Code Detail

MEDICARE: ALISA LUNSFORD

MEDICARE: ALISA LUNSFORD
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCAPRE.195441OH
2171M00000XCase Manager/Care CoordinatorOH

General Provider Information

NPI Number : 1720809312
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISA LUNSFORD
Provider Business Mailing Address
First Line : 401 CENTER ST FRNT B
Second Line :
City : IRONTON
State : OH
Zip : 45638-1519
Country : US
Telephone Number : 740-479-5135
Fax Number : 740-237-4870
Provider Business Practice Location Address
First Line : 401 CENTER ST FRNT B
Second Line :
City : IRONTON
State : OH
Zip : 45638-1519
Country : US
Telephone Number : 740-479-5135
Fax Number : 740-237-4870
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2024
Last Update Date : 03/11/2026

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