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Individual

DR. BRIAN L. LUMPKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1720 S BURLINGTON DR, MUNCIE, IN 47302-2771
(765) 216-7620
(765) 216-7681
Mailing address
1720 S BURLINGTON DR, MUNCIE, IN 47302-2771
(765) 216-7620
(765) 216-7681

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01043984
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000661225
ANTHEM
IN
05
200148320
IN
01
P00936177
RR MEDICARE
IN
Enumeration date
10/14/2005
Last updated
04/23/2015
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