Provider Demographics
NPI:1942013123
Name:LUNBERY, ASHLY NICOLE
Entity type:Individual
Prefix:
First Name:ASHLY
Middle Name:NICOLE
Last Name:LUNBERY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1324 BUCHFINCK AVE
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:NE
Mailing Address - Zip Code:69301-4511
Mailing Address - Country:US
Mailing Address - Phone:308-760-8856
Mailing Address - Fax:
Practice Address - Street 1:626 W 20TH ST
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:NE
Practice Address - Zip Code:69301-2234
Practice Address - Country:US
Practice Address - Phone:308-762-1970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker