Provider Demographics
NPI:1477276426
Name:LUMBERT, ERIK (RN, SRNA)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:
Last Name:LUMBERT
Suffix:
Gender:M
Credentials:RN, SRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 SECOND AVE
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-9535
Mailing Address - Country:US
Mailing Address - Phone:408-219-2656
Mailing Address - Fax:
Practice Address - Street 1:7 SECOND AVE
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-9535
Practice Address - Country:US
Practice Address - Phone:408-219-2656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN73110163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine