Individual
LORIE STUMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
173 BLUE HERON LN, NORTH AUGUSTA, SC 29841-6063
(904) 388-6949
Mailing address
PO BOX 161180, ALTAMONTE SPRINGS, FL 32716-1180
(904) 388-6949
(904) 388-1841
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
80580
GA
2085R0202X
Diagnostic Radiology Physician
Primary
ME153225
FL
Other
Enumeration date
08/14/2013
Last updated
09/16/2025
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