Provider Demographics
NPI:1063844090
Name:LUMAR, DIONE (MS,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DIONE
Middle Name:
Last Name:LUMAR
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 SW 20TH ST
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-4621
Mailing Address - Country:US
Mailing Address - Phone:972-505-8335
Mailing Address - Fax:469-362-2954
Practice Address - Street 1:504 SW 20TH ST
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-4621
Practice Address - Country:US
Practice Address - Phone:972-505-8335
Practice Address - Fax:469-362-2954
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-01
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA2669235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSA2669OtherDEPARTMENT OF HEALTH