Organization
LUMIVARA HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIENGXAY THOMAS MALAVONG D.O. (CEO)
(801) 513-3342
Entity
Organization
Contact information
Practice address
9920 BOE RD, IRVINGTON, AL 36544-2766
(334) 780-8814
Mailing address
9920 BOE RD, IRVINGTON, AL 36544-2766
(801) 513-3342
(334) 402-5975
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2026
Last updated
04/21/2026
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