Laurence Lum (NPI# 1932193554, PAC ID# 8224126867) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1932193554 |
| PAC ID by PECOS | 8224126867 |
| Professional Enrollment ID | I20100611000663 |
| Full Name | Laurence Lum |
| Organization Legal Name | QUALITY HEALTH CARE, INC |
| Address |
330 N State St C Desloge MO 63601-3041 |
| Phone Number | 5734315177 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7911937842 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260163 | PARKLAND HEALTH CENTER |
| 261315 | PARKLAND HEALTH CENTER-BONNE TERRE |
| 261308 | WASHINGTON COUNTY MEMORIAL HOSPITAL |
| 260023 | MERCY HOSPITAL JEFFERSON |
| 261336 | IRON COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 330 N State St C, Desloge, MO 63601-3041 | 5734315177 | QUALITY HEALTH CARE, INC |
| Organization Legal Name | QUALITY HEALTH CARE, INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia R Whitwell | Nurse Practitioner | Quality Health Care, Inc | 330 N State St C, Desloge, MO 63601-3041 |
| Debbie Ann Anderson | Nurse Practitioner | Quality Health Care, Inc | 330 N State St C, Desloge, MO 63601-3041 |
| Kimberly A Yeager | Nurse Practitioner | Quality Health Care, Inc | 330 N State St C, Desloge, MO 63601-3041 |
| Stephen M Forsythe | Family Practice | Quality Health Care, Inc | 330 N State St C, Desloge, MO 63601-3041 |
| Street Address |
330 N STATE ST C |
| City | DESLOGE |
| State | MO |
| Zip | 63601-3041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia R Whitwell | Nurse Practitioner | Quality Health Care, Inc | 330 N State St C, Desloge, MO 63601-3041 |
| Debbie Ann Anderson | Nurse Practitioner | Quality Health Care, Inc | 330 N State St C, Desloge, MO 63601-3041 |
| Kimberly A Yeager | Nurse Practitioner | Quality Health Care, Inc | 330 N State St C, Desloge, MO 63601-3041 |
| Stephen M Forsythe | Family Practice | Quality Health Care, Inc | 330 N State St C, Desloge, MO 63601-3041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenna Maria C Keller | Infectious Disease | 1025 W Main St, St Francois County Infectious Disease, Park Hills, MO 63601-2079 | |
| Mary F Dahmm | Nurse Practitioner | 5272 Flat River Dr, Park Hills, MO 63601-2224 | |
| Daniel L Young | Chiropractic | 8 E Main St, Park Hills, MO 63601-2633 | |
| Shawn M Haferkamp | Optometry | 1133 N Desloge Dr, Desloge, MO 63601-2936 | |
| Jeffery Linn Huck | Chiropractic | 1110 N Desloge Dr, Desloge, MO 63601-2937 | |
| Karen S Ferrell | Clinical Social Worker | 330 N State St, Suite A, Desloge, MO 63601-3041 | |
| Michael C Essmyer | Chiropractic | 311 N State St, Desloge, MO 63601-3051 | |
| Richard M Secor Jr. | Family Practice | Eastern Missouri General Services Inc | 322 N State St, Desloge, MO 63601-3052 |
| Alison M Burd | Optometry | 407 N State St, Desloge, MO 63601-3053 | |
| Evan T Williams | Optometry | Complete Vision Care Inc | 200 E Woodlawn Dr, Leadington, MO 63601-4436 |
| Find all physicians in zip 63601 | |||
| City | DESLOGE |
| Zip Code | 63601 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DESLOGE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Laurence Lum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.