Provider Demographics
NPI:1639878093
Name:UMUR, LUL B
Entity Type:Individual
Prefix:
First Name:LUL
Middle Name:B
Last Name:UMUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14300 34TH AVE N APT 308
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55447-5206
Mailing Address - Country:US
Mailing Address - Phone:952-688-6455
Mailing Address - Fax:
Practice Address - Street 1:14300 34TH AVE N APT 308
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55447-5206
Practice Address - Country:US
Practice Address - Phone:952-688-6455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide