MEDICARE: LOU ANNE CUMMINGS MD, MPH

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	2083P0901X	Public Health & General Preventive Medicine Physician	G47072	CA
2	208D00000X	General Practice Physician	G47072	CA

General Provider Information

NPI Number	:	1548305147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOU ANNE CUMMINGS MD, MPH

Provider Business Mailing Address
First Line	:	1445 VETERANS MEMORIAL CIR
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95993-3011
Country	:	US
Telephone Number	:	530-822-7215
Fax Number	:	530-822-7223

Provider Business Practice Location Address
First Line	:	1445 VETERANS MEMORIAL CIR
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95993-3011
Country	:	US
Telephone Number	:	530-822-7215
Fax Number	:	530-822-7223

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

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	09/13/2012

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