Individual
MRS. LISA MARIE LUMPKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-1000
(253) 968-0549
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(360) 493-2332
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DI00001324
WA
Other
Enumeration date
01/12/2006
Last updated
08/08/2019
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