Provider Demographics
NPI:1437246832
Name:LUMSDEN, DAVID B (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:B
Last Name:LUMSDEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:19 FONTANA LN
Mailing Address - Street 2:STE 208-210
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-3047
Mailing Address - Country:US
Mailing Address - Phone:410-574-4720
Mailing Address - Fax:410-574-6049
Practice Address - Street 1:19 FONTANA LN
Practice Address - Street 2:SUITE 208-210
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-3047
Practice Address - Country:US
Practice Address - Phone:410-574-4720
Practice Address - Fax:410-574-6049
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2014-02-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0054767207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD201802100Medicaid
MD201802100Medicaid
MD201802100Medicaid