Andrew Blake Lummus, | |
120 N Walnut St, Jefferson, TX 75657-1934 | |
(903) 665-6131 | |
Not Available |
Full Name | Andrew Blake Lummus |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 120 N Walnut St, Jefferson, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356901250 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | L060700 (Arkansas) | Primary |
Mailing Address | Practice Location Address |
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Andrew Blake Lummus, Po Box 901, Jefferson, TX 75657-0901 Ph: () - | Andrew Blake Lummus, 120 N Walnut St, Jefferson, TX 75657-1934 Ph: (903) 665-6131 |
Clayton Mark Thomas, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 120 N Walnut St, Jefferson, TX 75657 Phone: 903-665-6131 | |
Melissa Loretta Colbert, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 120 N Walnut St, Jefferson, TX 75657 Phone: 903-665-6131 |