Organization
LUMORA SUPPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANAS ABDIQANI OSMAN (OWNER)
(612) 876-5324
Entity
Organization
Contact information
Practice address
8051 33RD AVE S UNIT 547, BLOOMINGTON, MN 55425-5015
(612) 876-5324
Mailing address
8051 33RD AVE S UNIT 547, BLOOMINGTON, MN 55425-5015
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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