National Provider Identifier
Tia Lum
Tia Lum is listed in the NPPES registry with a primary specialty of Pharmacist in Fairport, NY and a listed phone number of (585) 503-8503.
Profile Overview
- NPI
- 1629476437
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- December 10, 2014
- Last Updated
- December 10, 2014
Practice Location
- 1304 Fairport RD
- Fairport, NY 14450-1310
Phone: (585) 503-8503
Mailing Address
- 149 Biltmore Dr
- Rochester, NY 14617-3111
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1629476437
- Entity Type
- Individual
- Last Name
- Lum
- First Name
- Tia
- Mailing Street Address
- 149 Biltmore Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-3111
- Mailing Country
- US
- Mailing Phone
- (585) 503-8503
- Practice Street Address
- 1304 Fairport RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1310
- Practice Country
- US
- Practice Phone
- (585) 503-8503
- Enumeration Date
- December 10, 2014
- Last Updated
- December 10, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)