Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 32123 | AL |
N | 2081P2900X | Pain Medicine | 32123 | AL |
NPI | 1063704823 |
---|---|
Provider Name | Ross Allen Lumsden |
First Address | Birmingham, AL 35205-2412 |
Second Address | Birmingham, AL 35205-2412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2011 |
Last Update Date | 08/02/2017 |