Individual provider · Type 1 NPI
Lichelle Nucum Lum, N.P.
Family Nurse Practitioner · Vallejo, CA
NPI number
1588071179
Active
Practice location
100 Hospital Dr Ste 110
Vallejo, CA 94589-2577
Fax (707) 551-3301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95000924 (CA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1588071179
Lichelle Nucum Lum, N.P.'s National Provider Identifier is 1588071179, issued on Jul 16, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Vallejo, CA. The record was last updated on Oct 22, 2014.