person
John Lum, PA-C
Medical Physician Assistant in Waterbury, Connecticut
NPI 1528016441

John Lum is a Medical Physician Assistant based in Waterbury, CT and is specialized in Medical. John Lum practices in Waterbury, CT and has the professional credentials of PA-C. The NPI Number for John Lum is 1528016441 and holds a License No. 000669 (Connecticut).

The current practice location address for John Lum is 1389 W Main St, Waterbury, CT and can be reached out via phone at 203-755-5555 and via fax at 203-573-8523.

Location: 1389 W Main St, Waterbury, CT, 06708-3104
person
Provider Profile Details
NPI Number
1528016441
Provider Name
John Lum
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1389 W Main St, Waterbury, CT, 06708-3104
Phone Number
203-755-5555
Fax Number
203-573-8523
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004085636 05 CT
institution
Provider Business Practice Location Address Details
Address
1389 W Main St
City
State
Zip
06708-3104
Phone Number
203-755-5555
Fax Number
203-573-8523
person
Provider Business Mailing Address Details
Address
1389 W Main St
City
State
Zip
06708-3104
Phone Number
203-755-5555
Fax Number
203-573-8523
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
000669 (Connecticut)
Definition
Definition to come...
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