Individual
TED M LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD INC
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
35050266L
OH
Other
Enumeration date
01/30/2006
Last updated
12/17/2007
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