| Doctor Name: | MRS. LISA MARIE LUMPKIN |
| NPI Number: | 1003895483 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD |
| License Number: | DI00001324 |
| Business Practice Address: | 9040 Fitzsimmons Dr Tacoma, WA - 984311000 |
| Business Phone Number: | 2539680562 |
| Business Fax Number: | |
| Mailing Address: | 2625 Judd St Se, LACEY |
| State: | WA |
| Postal Code: | 985033694 |
| Phone Number: | 3604932332 |
| Fax Number: | |
| NPI Enumeration Date: | 01/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1004X |
| License Number: | DI00001324 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Pediatric |
| Taxonomy Definition: | |