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LICHELLE NUCUM LUM N.P.
NPI 1588071179
Nurse Practitioner - Family in Vallejo, CA

Active since July 16, 2014
100 HOSPITAL DR STE 110, VALLEJO, CA 94589(707) 551-3300(707) 551-3301 Get Directions Write a Review

NPPES record last updated: October 22, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lichelle Nucum Lum N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LICHELLE NUCUM LUM N.P. (NPI 1588071179) is an individual family provider in Vallejo, California, licensed in California (95000924) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1588071179
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLICHELLE NUCUM LUMCredential: N.P.
Location Address100 HOSPITAL DR STE 110Vallejo, CA 94589-2577
Mailing Address100 Hospital Dr Ste 110Vallejo, CA 94589-2577 · (707) 551-3300 · Fax (707) 551-3301
Phone(707) 551-3300
Fax(707) 551-3301
Sole ProprietorNo
Enumeration DateJuly 16, 2014
Last NPPES UpdateOctober 22, 2014
✔ NPI 1588071179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95000924
100 HOSPITAL DR STE 110, Vallejo, CA 94589
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMARA ITO PA-C
Physician Assistant
100 HOSPITAL DR STE 110
VALLEJO, CA 94589
Napa County (707) 551-3300
MARIA CECILIA M. ROXAS-SMITH FNP
Nurse Practitioner (Family)
100 HOSPITAL DR STE 110
VALLEJO, CA 94589
Napa County (707) 592-6745
BRITTANY JORDAN DINGLER
Physician Assistant (Medical)
100 HOSPITAL DR STE 110
VALLEJO, CA 94589
Napa County (707) 551-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lichelle Lum's NPI number?

The NPI number for Lichelle Lum is 1588071179. It was assigned to this individual provider in the NPPES registry on July 16, 2014.

Where is Lichelle Lum located?

Lichelle Lum practices at 100 Hospital Dr Ste 110, Vallejo, CA 94589. The listed phone number is (707) 551-3300.

What is Lichelle Lum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lichelle Lum was last updated on October 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.