Provider Demographics
NPI:1639902828
Name:LUMPKIN, LAKELYN ANN (RD)
Entity type:Individual
Prefix:
First Name:LAKELYN
Middle Name:ANN
Last Name:LUMPKIN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14921 KARLYN CT
Mailing Address - Street 2:
Mailing Address - City:PRIDE
Mailing Address - State:LA
Mailing Address - Zip Code:70770-9610
Mailing Address - Country:US
Mailing Address - Phone:813-489-9251
Mailing Address - Fax:
Practice Address - Street 1:14921 KARLYN CT
Practice Address - Street 2:
Practice Address - City:PRIDE
Practice Address - State:LA
Practice Address - Zip Code:70770-9610
Practice Address - Country:US
Practice Address - Phone:813-489-9251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-22
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered