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Individual

LAWRENCE G LUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4100 JOHN R, KARMANOS CANCER CENTER, DETROIT, MI 48201-2013
(800) 527-6266
(313) 576-8767
Mailing address
1420 STEPHENSON HWY, SUITE 400 - CREDENTIALING, TROY, MI 48083-1189
(248) 581-5977
(248) 581-5640

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4301054459
MI
207RH0003X
Hematology & Oncology Physician
MD10207
RI
208000000X
Pediatrics Physician
4301054459
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9021144
RI
Enumeration date
07/07/2005
Last updated
01/24/2014
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