Individual
DR. LAURENCE LUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
330 N STATE ST, SUITE C, DESLOGE, MO 63601-3052
(573) 431-4449
(573) 431-2443
Mailing address
330 N STATE ST, SUITE C, DESLOGE, MO 63601-3052
(573) 431-4449
(573) 431-2443
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
104007
MO
Other
Enumeration date
09/09/2005
Last updated
03/07/2023
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