Provider Demographics
NPI:1467818005
Name:LUMPRY, FORREST (DC)
Entity Type:Individual
Prefix:
First Name:FORREST
Middle Name:
Last Name:LUMPRY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7680 STEGNER DR
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59808-1257
Mailing Address - Country:US
Mailing Address - Phone:406-240-9832
Mailing Address - Fax:
Practice Address - Street 1:7680 STEGNER DR
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59808-1257
Practice Address - Country:US
Practice Address - Phone:406-240-9832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-12
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTCHI-CHI-LIC-3975111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor