Individual provider · Type 1 NPI

Johnny Lum, PA-C

Medical Physician Assistant · Waterbury, CT

NPI number 1528016441 Active

Practice location

1389 W Main St
Waterbury, CT 06708-3104

Call (203) 755-5555 Map

Fax (203) 573-8523

Mailing address

4 Union Ave Apt 20
Norwalk, CT 06851-3735

Other practice locations

  • 1 Long Wharf Dr Ste 212, New Haven, CT 06511-5593 · (203) 624-4208
  • 9 Washington Ave Ste 202, Hamden, CT 06518-3267 · (321) 341-0074

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X000669 (CT)

Medical Physician Assistant: Definition to come...

48 other providers at this address

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About NPI 1528016441

Johnny Lum, PA-C's National Provider Identifier is 1528016441, issued on May 4, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Waterbury, CT. The record was last updated on Mar 19, 2026.