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Justin Lum

NPI 1043510449 · on the registry since 2010

Practice

Address
707 S 56th St
Tacoma, WA 98408
Phone
(253) 471-1730
Organisation at this address
Safeway Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-11-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington