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NPI Code Detail

MEDICARE: NATALIE LUMBAB

MEDICARE: NATALIE LUMBAB
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
1183500000XPharmacistRP442908PA

General Provider Information

NPI Number : 1780099440
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE LUMBAB
Provider Business Mailing Address
First Line : 10 SNYDER AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19148-2700
Country : US
Telephone Number : 215-465-3270
Fax Number :
Provider Business Practice Location Address
First Line : 10 SNYDER AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19148-2700
Country : US
Telephone Number : 215-465-3270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2014
Last Update Date : 06/20/2014

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Directions to “ NATALIE LUMBAB ” Practice Location

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