| Doctor Name: | MR. TREIS R LUM |
| NPI Number: | 1326096256 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 1261 |
| Business Practice Address: | 20950 N Tatum Blvd Suite 190 Phoenix, AZ - 850504200 |
| Business Phone Number: | 4807760022 |
| Business Fax Number: | |
| Mailing Address: | 12366 W. Milton Dr., PEORIA |
| State: | AZ |
| Postal Code: | 853837614 |
| Phone Number: | 9285019581 |
| Fax Number: | 9285019582 |
| NPI Enumeration Date: | 05/04/2006 |
| NPI Last Update Date: | 10/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 1261 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |