Organization
LUMIN ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA LOGUERCIO (VP)
(714) 316-6082
Entity
Organization
Contact information
Practice address
15207 N 75TH ST STE 111, SCOTTSDALE, AZ 85260-2445
(877) 254-7838
Mailing address
15207 N 75TH ST STE 111, SCOTTSDALE, AZ 85260-2445
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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