Organization
ILLUMINATE HEALTH MWC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOGAN LAMB DC (OWNER)
(931) 644-3983
Entity
Organization
Contact information
Practice address
225 N WILLOW AVE STE 7, COOKEVILLE, TN 38501-2453
(931) 644-3983
Mailing address
188 VIRGINIA ST, COOKEVILLE, TN 38506-5389
(931) 644-3983
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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