Provider Demographics
NPI:1790874972
Name:LUM, STEVEN MC (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MC
Last Name:LUM
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Gender:M
Credentials:MD
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Mailing Address - Street 1:30 AULIKE STREET
Mailing Address - Street 2:STE 303
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2751
Mailing Address - Country:US
Mailing Address - Phone:808-261-1745
Mailing Address - Fax:808-262-6787
Practice Address - Street 1:30 AULIKE STREET
Practice Address - Street 2:STE 303
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2751
Practice Address - Country:US
Practice Address - Phone:808-261-1745
Practice Address - Fax:808-262-6787
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
HI4369207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIA0011005OtherHMSA
D36377Medicare UPIN