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NPI Code Detail

MEDICARE: CHRISTOPHER LUMSDEN PA-C

MEDICARE:   CHRISTOPHER  LUMSDEN  PA-C
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
1363A00000XPhysician AssistantMED-PAC-LIC-50877MT
2363AM0700XMedical Physician AssistantMED-PAC-LIC-50877MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912306184
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER LUMSDEN PA-C
Provider Business Mailing Address
First Line : 915 HIGHLAND BLVD
Second Line :
City : BOZEMAN
State : MT
Zip : 59715-6902
Country : US
Telephone Number : 406-414-5336
Fax Number : 406-414-5337
Provider Business Practice Location Address
First Line : 875 S COTTONWOOD RD STE 200
Second Line :
City : BOZEMAN
State : MT
Zip : 59718-4222
Country : US
Telephone Number : 406-414-5336
Fax Number : 406-414-5337
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2014
Last Update Date : 06/22/2026

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Directions to “ CHRISTOPHER LUMSDEN PA-C” Practice Location

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