MEDICARE: ORSHUM LUMPKIN

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	101Y00000X	Counselor	P127252	NY

General Provider Information

NPI Number	:	1447068150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ORSHUM LUMPKIN

Provider Business Mailing Address
First Line	:	820 COLGATE AVE APT 5D
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10473-4827
Country	:	US
Telephone Number	:	347-623-0920
Fax Number	:

Provider Business Practice Location Address
First Line	:	820 COLGATE AVE APT 5D
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10473-4827
Country	:	US
Telephone Number	:	347-623-0920
Fax Number	:

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

Provider Enumeration Date	:	12/27/2024
Last Update Date	:	12/27/2024

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Directions to “ ORSHUM LUMPKIN ” Practice Location

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