Provider Demographics
NPI:1114638277
Name:LUMPAY, KAREN PALMA (DPT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:PALMA
Last Name:LUMPAY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 CRESTRUN LOOP
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-6155
Mailing Address - Country:US
Mailing Address - Phone:786-797-2566
Mailing Address - Fax:
Practice Address - Street 1:701 LAKE PORT BLVD
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-7674
Practice Address - Country:US
Practice Address - Phone:352-728-3366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-09
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT23194225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist