Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johnny Lum, PA-C

Individual provider Medical Physician Assistant · NPI 1528016441

Johnny Lum, PA-C is a Medical Physician Assistant in Waterbury, Connecticut. Works from 3 locations. Licensed in Connecticut.

Licensed in
CT
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1389 W Main St
Waterbury, CT 06708-3104
Phone: (203) 755-5555
Fax: (203) 573-8523
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9 Washington Ave Ste 202, Hamden, CT 06518-3267 — (321) 341-0074
  • 1 Long Wharf Dr Ste 212, New Haven, CT 06511-5593 — (203) 624-4208

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 000669 (CT)

Record details

NPI number1528016441
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026

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