| John C Lumb, MD | |
|
2221 Elm St, Rawlins, WY 82301-5108 | |
| (307) 324-2221 | |
| Not Available |
| Full Name | John C Lumb |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 2221 Elm St, Rawlins, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467403352 | NPI | - | NPPES |
| 3842814 | Medicaid | TN | |
| 4189347 | Other | TN | BCBS |
| 460553 | Other | TN | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD31513 (Tennessee) | Secondary |
| 208600000X | Surgery | 11503A (Wyoming) | Primary |
| Entity Name | Memorial Hospital Of Carbon County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508900341 PECOS PAC ID: 9638067176 Enrollment ID: O20040308000403 |
| Entity Name | Memorial Hospital Of Carbon County |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1710298757 PECOS PAC ID: 9638067176 Enrollment ID: O20100527000702 |
| Mailing Address | Practice Location Address |
|---|---|
| John C Lumb, MD 2221 Elm St, Rawlins, WY 82301-5108 Ph: (307) 324-2221 | John C Lumb, MD 2221 Elm St, Rawlins, WY 82301-5108 Ph: (307) 324-2221 |
Mrs. Nina Marie Garner, CST/CSFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 2221 Elm St, Rawlins, WY 82301 Phone: 307-324-8270 | |
Palur V. Sridharan, M.D.,F.A.C.S.,F.I.C. Surgery Medicare: Medicare Enrolled Practice Location: 519 8th St, Rawlins, WY 82301 Phone: 307-324-2705 Fax: 307-324-2923 |