Individual provider · Type 1 NPI

Andrew Blake Lummus

Licensed Practical Nurse · Jefferson, TX

NPI number 1356901250 Active

Practice location

120 N Walnut St
Jefferson, TX 75657-1934

Call (903) 665-6131 Map

Mailing address

PO Box 901
Jefferson, TX 75657-0901

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	L060700 (AR)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1356901250

Andrew Blake Lummus's National Provider Identifier is 1356901250, issued on Jun 13, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Jefferson, TX. The record was last updated on Jun 13, 2019.