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Contact Information

LUMINA LLC
5406 U.S. HIGHWAY 280
SUITE A101
BIRMINGHAM, AL35242
 Phone: 205-874-9436
 Fax: 205-874-9438
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for LUMINA LLC · (Female)

NPI # 1750700175
Status Active
Credentials
Entity Individual
Enumeration date 04/14/2014
Last updated 10/18/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • AL License # 22947
  • AL Medicaid 22947
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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