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NPI Code Detail

MEDICARE: BETHANY KATHERINE LUM

MEDICARE: BETHANY KATHERINE LUM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1841145885
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETHANY KATHERINE LUM
Provider Business Mailing Address
First Line : 605 OLD FARM RD
Second Line :
City : VALHALLA
State : NY
Zip : 10595-1510
Country : US
Telephone Number : 559-448-7546
Fax Number :
Provider Business Practice Location Address
First Line : 100 WOODS RD
Second Line :
City : VALHALLA
State : NY
Zip : 10595-1530
Country : US
Telephone Number : 914-493-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ BETHANY KATHERINE LUM ” Practice Location

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