Individual
LOLITA C. C. LUMUMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3746 PROSPECT AVE E, CLEVELAND, OH 44115-2706
(216) 391-6672
(216) 391-4633
Mailing address
3746 PROSPECT AVE E, CLEVELAND, OH 44115-2706
(216) 391-6672
(216) 391-4633
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
110574
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110574
—
OH
Enumeration date
04/26/2018
Last updated
04/26/2018
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