Organization
NEUROLUMEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELLY HENRY (PRESIDENT)
(405) 463-6526
Entity
Organization
Contact information
Practice address
9636 N MAY AVE STE 230, OKLAHOMA CITY, OK 73120-2715
(405) 463-6526
Mailing address
9636 N MAY AVE STE 230, OKLAHOMA CITY, OK 73120-2715
(405) 463-6526
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/13/2011
Last updated
07/10/2013
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