| NPI | 1861242067 |
|---|---|
| Doing Business As | LUM MERCY MAXIMUANGU |
| Entity Type | Organization |
| Authorized Contact | LUM MERCY MAXIMUANGU Chief Medical Officer, Bc Np 240-604-2949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) |
| 363L00000X Nurse Practitioner | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-03-22 |