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Individual
BRIAN DAVID LUM
Active
Individual
BRIAN DAVID LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
126620
AK
207Q00000X
Family Medicine Physician
2019-00062
NC
207Q00000X
Family Medicine Physician
20203
MS
207Q00000X
Family Medicine Physician
Primary
28309
SC
207Q00000X
Family Medicine Physician
52174
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC4927L064
MEDICARE
SC
Enumeration date
03/29/2007
Last updated
06/26/2025
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