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Individual

MICHAEL LUMBLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
206 CLAW AVE, CALDWELL, ID 83605-1277
(208) 999-7515
Mailing address
206 CLAW AVE, CALDWELL, ID 83605-1277

Taxonomy

Speciality
Code
Description
License number
State
363LS0200X
School Nurse Practitioner
Primary
60342
ID

Other

Enumeration date
08/07/2026
Last updated
08/07/2026
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