Provider Demographics
NPI:1225734874
Name:SUMBLER, ABBY (CD(DONA), LCCE, CLC)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:
Last Name:SUMBLER
Suffix:
Gender:F
Credentials:CD(DONA), LCCE, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 MARBLE RD
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-2833
Mailing Address - Country:US
Mailing Address - Phone:517-944-9729
Mailing Address - Fax:
Practice Address - Street 1:1330 MARBLE RD
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-2833
Practice Address - Country:US
Practice Address - Phone:517-944-9729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RN