Individual
TINA LASHAE LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2660 TATE BLVD SE, HICKORY, NC 28602-1465
(828) 261-0009
Mailing address
587 SKYLINE DR, JACKSON, TN 38301-3938
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012083
NC
363L00000X
Nurse Practitioner
Primary
APN0000022045
TN
Other
Enumeration date
08/17/2017
Last updated
03/19/2026
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