Individual
KIMBER LEIGH LUMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 HAWN AVE., SHREVEPORT, LA 71107
(318) 226-5990
Mailing address
1440 HAWN AVE., SHREVEPORT, LA 71107
(318) 226-5990
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
147692
LA
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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