Individual
DR. JEANNE A LUMADUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
CENTRE MEDICAL AND SURGICAL ASSOCIATES, P.C., 1850 EAST PARK AVENUE, SUITE 205, STATE COLLEGE, PA 16803-6706
(814) 234-7800
(814) 235-1133
Mailing address
1850 E PARK AVE, SUITE 205, STATE COLLEGE, PA 16803-6706
(814) 234-7800
(814) 235-1133
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
MD425020
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD425020
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012133660002
—
PA
01
—
50059459
CAPITAL BLUE CROSS
PA
01
—
91516
GEISINGER HEALTH PLAN
PA
01
—
LU1685791
HIGHMARK BLUE SHIELD
PA
Enumeration date
11/17/2005
Last updated
03/17/2011
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