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NPI 1508865874

NPI 1508865874 : LO M LUMSDEN ANP, EDD : VIRGINIA BEACH, VA

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General NPI Number Information
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    NPI Number           |    1508865874
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    Entity Type          |    Individual 
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    Provider Name        |    LO M LUMSDEN ANP, EDD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/19/2005
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    816 INDEPENDENCE BLVD STE 3L 
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    City                 |    VIRGINIA BEACH
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    State                |    VA
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    Zip                  |    23455-6010
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    Country              |    US
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    Telephone            |    757-751-7421
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    Fax                  |    757-937-5970
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Provider Business Mailing Address
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    Address Line         |    860 OMNI BLVD STE 101 
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    City                 |    NEWPORT NEWS
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    State                |    VA
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    Zip                  |    23606-4430
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    Country              |    US
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    Telephone            |    757-232-8769
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    Fax                  |    757-232-8875
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    0001055783
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    License Number State |    VA
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