Physician Compare National (NPI:1285664045)

HEALTHCARE PROVIDER: GEORGE LUM M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1285664045
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709918592
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100714000316
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LUM
	Individual professional last name
Provider First Name	GEORGE
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	13630 MAPLE AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	1J
	Group Practice or individual's line 2 address
City	FLUSHING
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	113553869
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7188868251
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330055
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NEW YORK-PRESBYTERIAN/QUEENS
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y