Provider Demographics
NPI:1508597014
Name:LUM, SYLVIA CHE
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:CHE
Last Name:LUM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:CHE
Other - Last Name:LUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3419 DODGE PARK RD APT T3
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-2041
Mailing Address - Country:US
Mailing Address - Phone:240-726-3412
Mailing Address - Fax:
Practice Address - Street 1:3419 DODGE PARK RD APT T3
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-2041
Practice Address - Country:US
Practice Address - Phone:240-726-3412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200001803374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide