Individual ProviderDissajee LumbiganonStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address2500 Metrohealth Dr, Cleveland, OH 44109-1900(216) 788-7800(216) 862-4243PECOS EnrollmentBased on the most recent information from CMS, provider Dissajee Lumbiganon does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1215240619Provider TypeIndividualFull NameLumbiganon, DissajeeTitleMissCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date7/14/2010Last Updated7/14/2010Contact InformationPractice LocationPractice Address2500 Metrohealth Dr, Cleveland, OH 44109-1900Phone(216) 788-7800FaxUnlisted FaxMailing LocationMailing Address35 Severance Cir, Apt 215, Cleveland Heights, OH 44118-1523Phone(216) 862-4243FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer