Individual
PAMELA J. LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3601 W COMMERCIAL BLVD STE 5, FORT LAUDERDALE, FL 33309-3392
(954) 485-5666
(954) 484-1651
Mailing address
PO BOX 817737, HOLLYWOOD, FL 33081-1737
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN990592
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300771500
—
FL
Enumeration date
02/09/2006
Last updated
03/06/2020
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