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Individual

ERIK LAWRENCE LUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 MEDICAL PLZ, 365C, LOS ANGELES, CA 90095-0001
(650) 799-3622
Mailing address
200 MEDICAL PLZ, 365C, LOS ANGELES, CA 90095-0001
(650) 799-3622

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A102092
CA
207RN0300X
Nephrology Physician
Primary
A102092
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952549180
CA
Enumeration date
01/26/2009
Last updated
10/10/2023
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