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Dr. Lillian Shumate, MD
Gynecology Physician in Modesto, California
NPI 1548359169

Lillian Shumate is a Gynecology Physician based in Modesto, CA and is specialized in Gynecology. Lillian Shumate practices in Modesto, CA and has the professional credentials of MD. The NPI Number for Lillian Shumate is 1548359169 and holds a License No. A25546 (California).

The current practice location address for Lillian Shumate is 1400 Florida Ave Ste 207, Modesto, CA and can be reached out via phone at 209-525-3845 and via fax at 209-525-3852.

Location: 1400 Florida Ave Ste 207, Modesto, CA, 95355-2007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548359169
Provider Name
Lillian Shumate
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1400 Florida Ave Ste 207, Modesto, CA, 95355-2007
Phone Number
209-525-3845
Fax Number
209-525-3852
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
QOA255460 05 CA
institution
Provider Business Practice Location Address Details
Address
1400 Florida Ave Ste 207
City
Modesto
State
California
Zip
95350-4445
Phone Number
209-525-3845
Fax Number
209-525-3852
person
Provider Business Mailing Address Details
Address
1400 Florida Ave Ste 207
City
Modesto
State
California
Zip
95350-4445
Phone Number
209-525-3845
Fax Number
209-525-3852
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
A25546 (California)
Definition
Definition to come...
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