Individual provider · Type 1 NPI

Kenneth Mark Lumbrazo Jr., MD

Student in an Organized Health Care Education/Training Program · Valhalla, NY

NPI number 1932780376 Active

Practice location

100 Woods Rd
Valhalla, NY 10595-1530

Fax (914) 345-0653

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X331302 (NY)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1932780376

Kenneth Mark Lumbrazo Jr., MD's National Provider Identifier is 1932780376, issued on Apr 17, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Valhalla, NY. The record was last updated on Jun 30, 2024.