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Individual

ANITRICIA DENISE LUMPKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
2908 MCGEHEE RD, MONTGOMERY, AL 36111-2103
(334) 229-9955
(334) 649-8145
Mailing address
2908 MCGEHEE RD, MONTGOMERY, AL 36111-2103
(334) 229-9955
(334) 649-8145

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO.000044
LA
207R00000X
Internal Medicine Physician
DO.000044
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1238431
LA
01
P00962663
RRMCARE THRU PEPA
LA
Enumeration date
07/10/2006
Last updated
06/18/2014
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