Andrew Blake Lummus

NPI #1356901250 in Jefferson, Texas

Provider Information

NPI Number
1356901250
Entity Type
Individual
Name
Andrew Blake Lummus
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jun 13, 2019
Last Updated
Jun 13, 2019

Practice Location

Address
120 N WALNUT ST
State
Texas
ZIP Code
75657-1934
Phone
(903) 665-6131

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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