Lum, Johnny
Lum, Johnny is an individual health care provider with primary practice located at 1389 W Main St , Waterbury CT 06708-3104. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Lum, Johnny can be contacted via phone (203) 755-5555.Contact Information
Primary practice address
1389 W Main St
Waterbury CT 06708-3104
Phone: (203) 755-5555
Fax: (203) 573-8523
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 000669 | Connecticut |
Profile Details
| NPI number | 1528016441 |
|---|---|
| LBN Legal business name | Lum, Johnny |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Mar 19th, 2026 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528016441 | NPPES |
| Connecticut | MEDICAID | 004085636 |
Popular Providers
-
Russo, Anna
56 Franklin St , Waterbury CT 06706-1253 -
Petitti, Meghan Elizabeth
56 Franklin St Saint Mary'S Hospital, Waterbury CT 06706-1253 -
Dylag, Michael Thomas
111 Taft Pt Unit 4, Waterbury CT 06708-5905 -
Lasky, Jodi
26 Westport Dr , Waterbury CT 06706-2854 -
Rubano, Christina
60 Westwood Ave Ste 104 , Waterbury CT 06708-2460 -
Burgos-Jimenez, Denisse
56 Franklin St , Waterbury CT 06706 -
Milano, Jaclyn
56 Franklin St , Waterbury CT 06706-1253 -
Ferrie, Sarah A
2247 E Main St Suite 103, Waterbury CT 06705-2604