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Individual

DR. DONALD L LUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
710 DIVISION ST S, NORTHFIELD, MN 55057-2468
(507) 646-1494
Mailing address
710 DIVISION ST S, NORTHFIELD, MN 55057-2468
(507) 646-1494

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
28757
MN
207Q00000X
Family Medicine Physician
28757
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
358572700
MN
Enumeration date
05/22/2006
Last updated
03/10/2021
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