Individual
MRS. LISA SANFORD LUMPKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OT/L
Contact information
Practice address
410 WILSON DR SW, JACKSONVILLE, AL 36265-2754
(256) 435-7704
Mailing address
410 WILSON DR SW, JACKSONVILLE, AL 36265-2754
(256) 435-7704
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1859
AL
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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