Organization
LUMINA OF ELIZABETHTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA DEYOUNG (DIRECTOR OF BILLING)
(502) 245-0767
Entity
Organization
Contact information
Practice address
106 DIECKS DR, ELIZABETHTOWN, KY 42701-2443
(502) 245-0767
Mailing address
PO BOX 18067, LOUISVILLE, KY 40261-0067
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
002058
KY
225100000X
Physical Therapist
004490
KY
225X00000X
Occupational Therapist
R2591
KY
235Z00000X
Speech-Language Pathologist
Primary
2470
KY
Other
Enumeration date
08/16/2006
Last updated
09/11/2025
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