Individual
ELIZABETH MUMPER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2015 TATE SPRINGS RD, SUITE 2, LOWER LEVEL, LYNCHBURG, VA 24501-1111
(434) 528-9075
(434) 528-9078
Mailing address
2015 TATE SPRINGS RD, SUITE 2, LOWER LEVEL, LYNCHBURG, VA 24501-1111
(434) 528-9075
(434) 528-9078
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101036534
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10387072
CAQH
VA
01
—
192224
ANTHEM
VA
05
—
6701361
—
VA
Enumeration date
04/14/2006
Last updated
07/08/2007
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