Organization
LILLIAN SHUMATE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILLIAN SHUMATE MD (SOLE PROPRIETOR)
(503) 841-7111
Entity
Organization
Contact information
Practice address
1401 SPANOS CT STE 124, MODESTO, CA 95355-2814
(209) 525-3883
Mailing address
1401 SPANOS CT STE 124, MODESTO, CA 95355-2814
(209) 525-3883
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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