Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN LUM, A.T.C
Active Sole ProprietorETHAN LUM, A.T.C is a Athletic Trainer healthcare provider located in HONOLULU, Hawaii. NPI 1801041801 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · HONOLULU, HI
Registration Details
- NPI Number
- 1801041801
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2008 (17.695846981753 yrs)
- Last Updated
- Nov 18, 2008
- Sole Proprietor
- Yes
Practice Information
- Address
-
3142 WAIALAE AVEHONOLULU, HI, 968161510Browse HI providers · Browse ZIP 96816
- Phone
- 8087394824
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in HONOLULU, HI
| Name | Credential | NPI |
|---|---|---|
| MR. CHASE KEN MITSUDA | ATC | 1760426944 |
| BRANDY JAMIE MAILER | MS, ATC | 1346285186 |
| MR. DARRYL TAKAYOSHI FUNAI | A.T.C. | 1881639649 |
| MICHAEL MARCOS CARAANG | ATC | 1316982978 |
| MR. GARVIN TSUJI | M.S., A.T., C. | 1013944982 |
| MR. CHARLES WARREN GIMA | ATC | 1477580355 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.