Basic Information
Provider Information
NPI: 1710120530
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LUM
FirstName: DEIRDRE
MiddleName: ALIMAE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 LOTHROP ST
Address2: FORBES TOWER ROOM 9055
City: PITTSBURGH
State: PA
PostalCode: 152132536
CountryCode: US
TelephoneNumber: 4126473087
FaxNumber: 4126474486
Practice Location
Address1: 300 HALKET ST
Address2: SUITE 0610
City: PITTSBURGH
State: PA
PostalCode: 152133108
CountryCode: US
TelephoneNumber: 4126416412
FaxNumber: 4126416512
Other Information
ProviderEnumerationDate: 04/09/2009
LastUpdateDate: 01/30/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMD442945PAN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000XA107141CAN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207VG0400XA107141CAY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology

No ID Information.


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