Individual
GARY B LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8110 WALNUT RUN RD, CORDOVA, TN 38018-6362
(901) 757-3535
Mailing address
8110 WALNUT RUN RD, CORDOVA, TN 38018-6362
(901) 757-3535
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
59301
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2016
Last updated
08/06/2019
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