| NPI | 1811249287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LO M LUMSDEN President 757-407-0610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0001055783) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |