SearchConnecticut363AM0700X

Johnny Lum, PA-C

NPI 1528016441 · on the registry since 2006

Practice

Address
1389 W Main St
Waterbury, CT 06708
Phone
(203) 755-5555
Fax
(203) 573-8523
Organisation at this address
I Spine, Pc
Headzone Llc
Juan Fica, Md, Llc
Diane L. Fountas M.D.
A.Aziz Richi, Md, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
54

Additional practice sites

  • 9 Washington Ave Ste 202, Hamden, CT
  • 1 Long Wharf Dr Ste 212, New Haven, CT

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-19

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 Connecticut