Individual
SIYAN LUMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED. S
Contact information
Practice address
327 SWEETWATER LN, O FALLON, IL 62269-4314
(618) 540-8574
Mailing address
327 SWEETWATER LN, O FALLON, IL 62269-4314
(618) 540-8574
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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