Lum, Gary B

Lum, Gary B is an individual health care provider with primary practice located at 8338 Summa Ave Suite 100, Baton Rouge LA 70809-3669. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Lum, Gary B can be contacted via phone (225) 761-8988.

Contact Information

Primary practice address
8338 Summa Ave Suite 100 Baton Rouge LA 70809-3669
Phone: (225) 761-8988
Fax: (225) 761-8940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 07125R Louisiana

Profile Details

NPI number 1922097021
LBN Legal business name Lum, Gary B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Mar 16th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922097021 NPPES
Louisiana MEDICAID 1359564
Louisiana MEDICAID 1922097021
Louisiana MEDICAID 00123432

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