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Individual

DR. SAMUEL LEE LUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D, MBA

Contact information

Practice address
3400 DELTA FAIR BLVD., ANTIOCH, CA 94509
(925) 779-5496
(925) 779-5468
Mailing address
107 EDGEWARE COURT, 2809 BETHANY ROAD, SAN RAMON, CA 94582
(925) 779-5496
(925) 779-5468

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
47608
CA

Other

Enumeration date
11/13/2006
Last updated
07/08/2007
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