Basic Information
Provider Information
NPI: 1043947419
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LUMU
FirstName: FRANCES
MiddleName: J
NamePrefix:  
NameSuffix:  
Credential: RN, MSN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 460511
Address2:  
City: AURORA
State: CO
PostalCode: 800460511
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 4455 E 12TH AVE
Address2:  
City: DENVER
State: CO
PostalCode: 802202415
CountryCode: US
TelephoneNumber: 3035047900
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/04/2022
LastUpdateDate: 08/04/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/04/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WP0807XRN.0172930CON Nursing Service ProvidersRegistered NursePsych/Mental Health, Child & Adolescent
163W00000XRN.0172930COY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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