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Individual

WANDA LUMPKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMSC, MPAS, PA-C

Contact information

Practice address
18800 ROXBURY RD, HAGERSTOWN, MD 21746-1001
(240) 420-1601
Mailing address
8710 CAMERON ST UNIT 408, SILVER SPRING, MD 20910-3704
(301) 991-4284
(301) 681-2713

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C06041
MD
363A00000X
Physician Assistant
Primary
C6041
MD

Other

Enumeration date
03/11/2016
Last updated
09/30/2020
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