Provider Demographics
NPI:1962778597
Name:LUM, ZACHARY CHRISTOPHER (DO)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:CHRISTOPHER
Last Name:LUM
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1608 TOWN CENTER BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3639
Mailing Address - Country:US
Mailing Address - Phone:954-349-2345
Mailing Address - Fax:954-349-7784
Practice Address - Street 1:17842 NW 2ND ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-2806
Practice Address - Country:US
Practice Address - Phone:954-430-9901
Practice Address - Fax:954-430-0608
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-28
Last Update Date:2021-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS17663207XS0114X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery