Organization
LUMINA LLC
Active
Other names
ENT for Kids Alabama
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB FRENCH (OFFICE MANAGER)
(205) 874-9436
Entity
Organization
Contact information
Practice address
5406 U.S. HIGHWAY 280, SUITE A101, BIRMINGHAM, AL 35242
(205) 874-9436
(205) 874-9438
Mailing address
5406 U.S. HIGHWAY 280, SUITE A101, BIRMINGHAM, AL 35242
(205) 874-9436
(205) 874-9438
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
22947
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22947
—
AL
Enumeration date
04/14/2014
Last updated
10/18/2023
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