Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Infusion |
251F00000X | |||
Nursing Care |
251J00000X |
| NPI # | 1962353797 |
| LBN Legal business name | LUMINATE MEDICAL MSO LLC |
| Authorized official | TANYA GOLOVANOFF - (VP PHARMACY & CARE DELIVERY) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/06/2026 |
| Last updated | 02/10/2026 - About 4 months ago |
| Identifiers | n/a |
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