Individual
DR. LILLIAN SHUMATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 FLORIDA AVE STE 207, MODESTO, CA 95350-4445
(209) 525-3845
(209) 525-3852
Mailing address
2625F COFFEE RD STE 215, MODESTO, CA 95355-2007
(209) 522-2463
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A25546
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
QOA255460
—
CA
Enumeration date
10/12/2006
Last updated
03/10/2020
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