Active NPI
Stephen Paul Lum II
- Speech-Language Pathologist
- Lebanon, PA
National Provider Identifier
1689287500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL015852
- Practice address
- 445 Mountville Dr
Lebanon, PA 17046-8066 - Phone
- (717) 304-2241
- NPI assigned
- Aug 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL015852 | PA | Primary |
Addresses
Primary practice location
445 Mountville Dr
Lebanon, PA 17046-8066
Mailing address
530 Jonestown Rd
Jonestown, PA 17038-9221
Phone (717) 304-2241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL015852 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782518400000",
"number": "1689287500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 JONESTOWN RD",
"city": "JONESTOWN",
"state": "PA",
"postal_code": "170389221",
"telephone_number": "717-304-2241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 MOUNTVILLE DR",
"city": "LEBANON",
"state": "PA",
"postal_code": "170468066",
"telephone_number": "717-304-2241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUM",
"first_name": "STEPHEN",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-29",
"last_updated": "2026-06-27",
"certification_date": "2026-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL015852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.