person
Dr. Katharine S Lum, MD
Gynecology Physician in Vero Beach, Florida
NPI 1467422832

Katharine S Lum is a Gynecology Physician based in Vero Beach, FL and is specialized in Gynecology. Katharine S Lum practices in Vero Beach, FL and has the professional credentials of MD. The NPI Number for Katharine S Lum is 1467422832 and holds a License No. ME004400 (Florida).

The current practice location address for Katharine S Lum is 777 37Th St Ste C101, Vero Beach, FL and can be reached out via phone at 772-562-6566 and via fax at 772-562-6570.

Location: 777 37Th St Ste C101, Vero Beach, FL, 32960-7301
person
Provider Profile Details
NPI Number
1467422832
Provider Name
Katharine S Lum
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
777 37Th St Ste C101, Vero Beach, FL, 32960-7301
Phone Number
772-562-6566
Fax Number
772-562-6570
Provider Enumeration Date
01/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
62534 01 FL BLUE CROSS BLUE SHEILD
10D0952099 01 FL CLIA NUMBER
160040633 01 FL RAILROAD MEDICARE
K0449 01 FL MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
777 37Th St Ste C101
City
State
Zip
32960-7301
Phone Number
772-562-6566
Fax Number
772-562-6570
person
Provider Business Mailing Address Details
Address
777 37Th St Ste C101
City
State
Zip
32960-7301
Phone Number
772-562-6566
Fax Number
772-562-6570
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
ME004400 (Florida)
Definition
Definition to come...
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