Provider Demographics
NPI:1043219249
Name:LUMPKIN, L DENISE SARVER (FNP)
Entity Type:Individual
Prefix:
First Name:L DENISE
Middle Name:SARVER
Last Name:LUMPKIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 HOSPITAL DR
Mailing Address - Street 2:STE 235
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-4654
Mailing Address - Country:US
Mailing Address - Phone:409-833-9241
Mailing Address - Fax:409-813-2382
Practice Address - Street 1:810 HOSPITAL DR
Practice Address - Street 2:STE 235
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4654
Practice Address - Country:US
Practice Address - Phone:409-790-7841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX619787363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX612337Medicare ID - Type Unspecified
Q28024Medicare UPIN
TXPENDINGMedicare PIN