IndividualActive
Andy Lum, CRNA RN
NPI 1659792166 · Certified Registered Nurse Anesthetist · Camp Lejeune, NC
Provider details
- NPI number
- 1659792166
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 006846 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
100 Brewster Blvd Bldg 100
Camp Lejeune, NC 28547-2575
Phone: (757) 650-9453
Approximate (ZIP-level) locationGet directions
Mailing address
105 Nautical Waves Rd
Hubert, NC 28539-4678
Registry dates
- Enumerated
- 2013-12-31
- Last updated
- 2024-05-23
- Certified
- 2024-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.