Provider Demographics
NPI:1750784310
Name:LUMPKIN BECTON, LINDA
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:LUMPKIN BECTON
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 1:4351 S HIGHWAY 27
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-5349
Mailing Address - Country:US
Mailing Address - Phone:352-394-2915
Mailing Address - Fax:352-394-1784
Practice Address - Street 1:4351 S HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-5349
Practice Address - Country:US
Practice Address - Phone:352-394-2915
Practice Address - Fax:352-394-1784
Is Sole Proprietor?:No
Enumeration Date:2014-09-26
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS23714183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist