Provider Demographics
NPI:1902262058
Name:LUMIA, KAREN
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:LUMIA
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 1:12679 ROLL RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:NY
Mailing Address - Zip Code:14001-9616
Mailing Address - Country:US
Mailing Address - Phone:716-442-6203
Mailing Address - Fax:
Practice Address - Street 1:37 BROOKLYN ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:NY
Practice Address - Zip Code:14001-1302
Practice Address - Country:US
Practice Address - Phone:716-442-6203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071279-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse