Individual
DIANE LAU LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6005 PARK AVE STE 200, MEMPHIS, TN 38119-5212
(901) 761-2100
Mailing address
228 W TYLER AVE, SUITE 200, WEST MEMPHIS, AR 72301-4223
(870) 735-1973
(870) 735-5433
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29884
TN
207R00000X
Internal Medicine Physician
Primary
E1289
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131640001
—
AR
Enumeration date
01/16/2006
Last updated
05/15/2019
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