Lumi, Crystal Fialova
Lumi, Crystal Fialova is an sole proprietor health care provider with primary practice located at 15552 68Th Pl N , Maple Grove MN 55311-3291. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Lumi, Crystal Fialova can be contacted via phone (931) 237-2265.Contact Information
Primary practice address
15552 68Th Pl N
Maple Grove MN 55311-3291
Phone: (931) 237-2265
Fax: (612) 594-8998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 39691 | Minnesota |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 28928 | Alabama |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 37412 | Wisconsin |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 46661 | Tennessee |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0420012124 | Vermont |
Profile Details
| NPI number | 1215969902 |
|---|---|
| LBN Legal business name | Lumi, Crystal Fialova |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Nov 19th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215969902 | NPPES |
| Tennessee | MEDICAID | 1523162 | |
| Tennessee | MEDICAID | 514517100 |
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