Provider Demographics
NPI:1689670887
Name:LUMSDEN, TODD JAMES (DO)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:JAMES
Last Name:LUMSDEN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:360 S MOUNT AUBURN RD
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63703-4920
Mailing Address - Country:US
Mailing Address - Phone:573-335-3577
Mailing Address - Fax:573-335-1559
Practice Address - Street 1:64 DOCTORS PARK
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63703-4928
Practice Address - Country:US
Practice Address - Phone:573-334-5265
Practice Address - Fax:573-334-3648
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2020-07-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO112497207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2324214OtherUNITED HEALTHCARE
MO507464709Medicaid
MO59946OtherHEALTH ALLIANCE
MO180029379OtherRAILROAD MEDICARE
MO106713OtherBLUE SHIELD
MO27949OtherGHP
MO332866OtherHEALTHLINK
MO001013726Medicare PIN
MO000005952Medicare PIN
MO180029379OtherRAILROAD MEDICARE