Provider Demographics
NPI:1467498063
Name:SCHULMAN, LOIS J (MD)
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:J
Last Name:SCHULMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1830 BEAUVOIR LAKE DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-4307
Mailing Address - Country:US
Mailing Address - Phone:334-279-9401
Mailing Address - Fax:
Practice Address - Street 1:440 TAYLOR RD STE 3200
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-3598
Practice Address - Country:US
Practice Address - Phone:334-213-6287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20470207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051501621SCHMedicare ID - Type Unspecified