Individual
DEBRA SUE LUMBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(573) 803-5206
Mailing address
1340 WOLF CREEK RD, GOREVILLE, IL 62939-2031
(870) 882-2239
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2023047203
MO
367500000X
Certified Registered Nurse Anesthetist
209021283
IL
367500000X
Certified Registered Nurse Anesthetist
C01387
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154308701
—
AR
01
—
214881
MULTISPECIALTY GROUP PTAN
IL
Enumeration date
04/27/2006
Last updated
03/08/2024
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