330 N STATE ST SUITE C
DESLOGE, MO 63601-3052 US PECOS Enrolled
Overview
Laurence Lum is a Family Medicine Physician in the DESLOGE area and has over 29 years of experience. Laurence Lum primary office location is at 330 N STATE ST and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1995
Laurence Lum is affiliated with seventeen hospitals in the DESLOGE area, including . The NPI number is 1932193554 and the information was updated approximately 1 year ago.
Laurence Lum is affiliated with one medical group in the DESLOGE area, QUALITY HEALTH CARE, INC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 104007 | MO |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Family Medicine Physician - Taxonomy Code 207Q00000X | MO | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20100611000663 |
| PECOS Individual PAC ID: | 8224126867 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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