Provider Demographics
NPI:1194575738
Name:LUMM, ALEXIS BETH (DO)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:BETH
Last Name:LUMM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:BETH
Other - Last Name:RUFFING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:245 FOUNTAIN CT STE 215
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-2792
Mailing Address - Country:US
Mailing Address - Phone:858-323-6021
Mailing Address - Fax:859-323-1670
Practice Address - Street 1:245 FOUNTAIN CT STE 215
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2792
Practice Address - Country:US
Practice Address - Phone:858-323-6021
Practice Address - Fax:859-323-1670
Is Sole Proprietor?:No
Enumeration Date:2024-03-26
Last Update Date:2025-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR71022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry