Organization
TED M. LUM, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TED MICHAEL LUM M.D, (PRESIDENT)
(513) 221-6300
Entity
Organization
Contact information
Practice address
2825 BURNET AVE, SUITE 208, CINCINNATI, OH 45219-2426
(513) 221-6300
(513) 221-6302
Mailing address
2825 BURNET AVE, SUITE 208, CINCINNATI, OH 45219-2426
(513) 221-6300
(513) 221-6302
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35050266
OH
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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