Individual
MR. EDWARD J LUMINATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
730 CHEYENNE BLVD, SUITE 100, COLORADO SPRINGS, CO 80905-2423
(719) 632-0324
(719) 632-0326
Mailing address
730 CHEYENNE BLVD, SUITE 100, COLORADO SPRINGS, CO 80905-2423
(719) 632-0324
(719) 632-0326
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1142
CO
Other
Enumeration date
05/09/2006
Last updated
03/27/2014
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