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Tyrone Lumpkin
Peer Specialist in Lorain, Ohio
NPI 1720720527

Tyrone Lumpkin is a Peer Specialist based in Lorain, OH. Tyrone Lumpkin practices in Lorain, OH. The NPI Number for Tyrone Lumpkin is 1720720527 and holds a License No. (Ohio).

The current practice location address for Tyrone Lumpkin is 6140 S Broadway, Lorain, OH and can be reached out via phone at 440-233-7232 and via fax at 440-204-4315.

Location: 6140 S Broadway, Lorain, OH, 44053-3891
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720720527
Provider Name
Tyrone Lumpkin
Credential
Provider Entity Type
Individual
Gender
Male
Address
6140 S Broadway, Lorain, OH, 44053-3891
Phone Number
440-233-7232
Fax Number
440-204-4315
Provider Enumeration Date
04/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6140 S Broadway
City
Lorain
State
Ohio
Zip
44053-3891
Phone Number
440-233-7232
Fax Number
440-204-4315
person
Provider Business Mailing Address Details
Address
6140 S Broadway
City
Lorain
State
Ohio
Zip
44053-3891
Phone Number
440-233-7232
Fax Number
440-204-4315
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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