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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREW BLAKE LUMMUS

Active

ANDREW BLAKE LUMMUS is a Licensed Practical Nurse healthcare provider located in JEFFERSON, Texas. NPI 1356901250 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · JEFFERSON, TX

Registration Details

NPI Number
1356901250
Provider Type
Individual
Gender
Male
NPI Issued
Jun 13, 2019 (7.1648238144725 yrs)
Last Updated
Jun 13, 2019
License
L060700 (AR)

Practice Information

Address
120 N WALNUT ST
JEFFERSON, TX, 756571934
Browse TX providers · Browse ZIP 75657
Phone
9036656131
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in JEFFERSON, TX

Name Credential NPI
CLAYTON MARK THOMAS 1265906135
MELISSA LORETTA COLBERT 1528532496
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.