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NPI Code Detail

MEDICARE: MACKENZIE LUMAN

MEDICARE: MACKENZIE LUMAN
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
1106S00000XBehavior TechnicianNC

General Provider Information

NPI Number : 1952275349
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACKENZIE LUMAN
Provider Business Mailing Address
First Line : 5 LORRAINE ST
Second Line :
City : FORT LIBERTY
State : NC
Zip : 28307-1613
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 920 CAMBRIDGE ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28303-5300
Country : US
Telephone Number : 910-493-3555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2025
Last Update Date : 06/08/2026

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Directions to “ MACKENZIE LUMAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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