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Individual

DR. COREY JONATHAN LUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
10040 ALTA DR STE 350, LAS VEGAS, NV 89145-8658
(702) 360-7600
(702) 363-3814
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346

Taxonomy

Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
DO3065
NV
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
DOS-1665
HI
207RC0000X
Cardiovascular Disease Physician
DO3065
NV
207RC0000X
Cardiovascular Disease Physician
DOS-1665
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
819493
HI
01
DO03065
STATE LICENSE
NV
Enumeration date
04/11/2012
Last updated
04/24/2024
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