Individual
DR. COREY JONATHAN LUM
Active
Individual
DR. COREY JONATHAN LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
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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