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1194575738 NPI number — ALEXIS BETH LUMM DO

NPI Number: 1194575738
Health Care Provider/Practitioner: ALEXIS BETH LUMM DO

Information about “1194575738” NPI (ALEXIS BETH LUMM DO) exists in 1194575738 in HTML format HTML  |  1194575738 in plain Text format TXT  |  1194575738 in PDF (Portable Document Format) PDF  |  1194575738 in an XML format XML  formats.

NPI Number : 1194575738 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194575738",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LUMM",
    "FirstName": "ALEXIS",
    "MiddleName": "BETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RUFFING",
    "OtherFirstName": "ALEXIS",
    "OtherMiddleName": "BETH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DO",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "245 FOUNTAIN CT STE 215",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LEXINGTON",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40509-2792",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "858-323-6021",
    "MailingAddressFaxNumber": "859-323-1670",
    "FirstLinePracticeLocationAddress": "245 FOUNTAIN CT STE 215",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LEXINGTON",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40509-2792",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "858-323-6021",
    "PracticeLocationAddressFaxNumber": "859-323-1670",
    "EnumerationDate": "03/26/2024",
    "LastUpdateDate": "11/29/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2084P0800X",
        "TaxonomyName": "Psychiatry Physician",
        "LicenseNumber": "R7102",
        "LicenseNumberStateCode": "KY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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