Provider Demographics
NPI:1841625647
Name:LO LUMSDEN AND ASSOCIATES, PLLC
Entity type:Organization
Organization Name:LO LUMSDEN AND ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:LO
Authorized Official - Middle Name:M
Authorized Official - Last Name:LUMSDEN
Authorized Official - Suffix:
Authorized Official - Credentials:ANP, GNP, EDD
Authorized Official - Phone:757-407-0610
Mailing Address - Street 1:1367 SIR RICHARD ROAD
Mailing Address - Street 2:
Mailing Address - City:VA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455
Mailing Address - Country:US
Mailing Address - Phone:757-407-0610
Mailing Address - Fax:757-460-2136
Practice Address - Street 1:3750 SENTARA WAY
Practice Address - Street 2:SENTARA NURSING CENTER - VIRGINIA BEACH
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452
Practice Address - Country:US
Practice Address - Phone:757-306-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-11
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001055783363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAR62660Medicare UPIN