Provider Demographics
NPI:1871838060
Name:LUMMUS, CHRISTEN H (PA)
Entity Type:Individual
Prefix:
First Name:CHRISTEN
Middle Name:H
Last Name:LUMMUS
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:2751 ALBERT L BICKNELL DR STE 2B
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71103-3939
Mailing Address - Country:US
Mailing Address - Phone:318-212-8350
Mailing Address - Fax:318-212-8356
Practice Address - Street 1:2751 ALBERT L BICKNELL DR STE 2B
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71103-3939
Practice Address - Country:US
Practice Address - Phone:318-212-8350
Practice Address - Fax:318-212-8356
Is Sole Proprietor?:No
Enumeration Date:2012-11-29
Last Update Date:2023-08-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAPA.200589363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant