person
Lichelle Nucum Lum, NP
Family Nurse Practitioner in Vallejo, California
NPI 1588071179

Lichelle Nucum Lum is a Family Nurse Practitioner based in Vallejo, CA and is specialized in Family. Lichelle Nucum Lum practices in Vallejo, CA and has the professional credentials of NP. The NPI Number for Lichelle Nucum Lum is 1588071179 and holds a License No. 95000924 (California).

The current practice location address for Lichelle Nucum Lum is 100 Hospital Dr Ste 110, Vallejo, CA and can be reached out via phone at 707-551-3300 and via fax at 707-551-3301.

Location: 100 Hospital Dr Ste 110, Vallejo, CA, 94589-2577
person
Provider Profile Details
NPI Number
1588071179
Provider Name
Lichelle Nucum Lum
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
100 Hospital Dr Ste 110, Vallejo, CA, 94589-2577
Phone Number
707-551-3300
Fax Number
707-551-3301
Provider Enumeration Date
07/16/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Hospital Dr Ste 110
City
State
Zip
94589-2577
Phone Number
707-551-3300
Fax Number
707-551-3301
person
Provider Business Mailing Address Details
Address
100 Hospital Dr Ste 110
City
State
Zip
94589-2577
Phone Number
707-551-3300
Fax Number
707-551-3301
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95000924 (California)
Definition
Definition to come...
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