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Individual

LACY R TUMAMBING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
205 CALUMET CENTER RD, LAGRANGE, GA 30241-6711
(706) 885-1961
(706) 885-1963
Mailing address
205 CALUMET CENTER RD, LAGRANGE, GA 30241-6711
(706) 885-1961
(706) 885-1963

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
068011
GA
208000000X
Pediatrics Physician
LL31845
SC

Other

Enumeration date
07/07/2009
Last updated
06/19/2012
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