Provider Demographics
NPI:1700996634
Name:LUMPKINS, MEGAN
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:LUMPKINS
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 1:9763 GOLDFINCH LN
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-4309
Mailing Address - Country:US
Mailing Address - Phone:303-471-5430
Mailing Address - Fax:
Practice Address - Street 1:151 W MINERAL AVE
Practice Address - Street 2:STE 116A
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-5611
Practice Address - Country:US
Practice Address - Phone:303-798-5602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO6934OtherLICENSE #