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Individual

ANDY LUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA RN

Contact information

Practice address
100 BREWSTER BLVD BLDG 100, CAMP LEJEUNE, NC 28547-2575
(757) 650-9453
Mailing address
105 NAUTICAL WAVES RD, HUBERT, NC 28539-4678
(757) 650-9453

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
006846
NC

Other

Enumeration date
12/31/2013
Last updated
05/23/2024
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