Organization
LUMINOSITY H&W LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK STIBBENS NP (CHIEF MEDICAL OFFICER)
(719) 321-4637
Entity
Organization
Contact information
Practice address
6455 N UNION BLVD STE 100, COLORADO SPRINGS, CO 80918-5852
(719) 301-7246
Mailing address
6455 N UNION BLVD STE 100, COLORADO SPRINGS, CO 80918-5852
(719) 301-7246
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
05/01/2023
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