Individual
ALLANA JACLYN LUMBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1327 KALAKAKET ST, FAIRBANKS, AK 99709-4917
(757) 284-5289
Mailing address
205 34TH ST APT 909, VIRGINIA BEACH, VA 23451-2800
(757) 284-5289
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007987
VA
Other
Enumeration date
02/04/2019
Last updated
05/12/2020
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