Provider Demographics
NPI:1205039369
Name:LUMPKIN, VIRGINIA (CNA, CPT)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:
Last Name:LUMPKIN
Suffix:
Gender:F
Credentials:CNA, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7315 E 54TH ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:IN
Mailing Address - Zip Code:46226-1923
Mailing Address - Country:US
Mailing Address - Phone:765-577-1487
Mailing Address - Fax:
Practice Address - Street 1:7315 E 54TH ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:IN
Practice Address - Zip Code:46226-1923
Practice Address - Country:US
Practice Address - Phone:765-577-1487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IND8W3H9P7246RP1900X
INCNA0501925376K00000X
IN48010501925376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No376K00000XNursing Service Related ProvidersNurse's Aide