Provider Demographics
NPI:1932547759
Name:LO LUMSDEN AND ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:LO LUMSDEN AND ASSOCIATES, PLLC
Other - Org Name:CHL & ASSOCIATES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
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 RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-4916
Mailing Address - Country:US
Mailing Address - Phone:757-407-0610
Mailing Address - Fax:757-460-2136
Practice Address - Street 1:1367 SIR RICHARD RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-4916
Practice Address - Country:US
Practice Address - Phone:757-407-0610
Practice Address - Fax:757-460-2136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001055783313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1508865874Medicaid
VA0001055783OtherMEDICAL LICENSE
VA0001055783OtherMEDICAL LICENSE
VA1508865874Medicaid