Undesser, Cynthia Lufkin

Undesser, Cynthia Lufkin is an sole proprietor health care provider with primary practice located at 402 Wesley Ave , Jackson MS 39202-1000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Undesser, Cynthia Lufkin can be contacted via phone (601) 360-0583.

Contact Information

Primary practice address
402 Wesley Ave Jackson MS 39202-1000
Phone: (601) 360-0583
Fax: (601) 360-0585
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 11891 Mississippi

Profile Details

NPI number 1841337656
LBN Legal business name Undesser, Cynthia Lufkin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841337656 NPPES
Texas Other G5719 MEDICAL LICENSURE
Texas MEDICAID 00117736 MEDICAL LICENSURE

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