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Individual

EDNA A LUMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
3404 W SYLVANIA AVE, TOLEDO, OH 43623-4467
(419) 407-1444
Mailing address
PO BOX 660580, ARCADIA, CA 91066-0580
(626) 447-0296
(626) 447-6057

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06131182
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN332866
MEDICAL LICENSE
OH
Enumeration date
07/09/2013
Last updated
07/11/2013
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