Physician Compare National (NPI:1366559098)

HEALTHCARE PROVIDER: DON 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	1366559098
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7719022854
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100301000824
	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	DON
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1972
	Individual professional's medical school graduation year
Primary Specialty	DERMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4301 S MULBERRY ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE B
	Group Practice or individual's line 2 address
City	PINE BLUFF
	Group Practice or individual's city
State	AR
	Group Practice or individual's state
Zip Code	716037005
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y