| Lumos Wellness, Llc | |
|
325 W Silver Spring Dr # 2fe Glendale WI 53217-5000 | |
| (920) 379-2566 | |
| Not Available |
| Full Name | Lumos Wellness, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 325 W Silver Spring Dr # 2fe, Glendale, Wisconsin |
| Authorized Official Name and Position | Noel L'esperance (OWNER, COUNSELOR, ART THERAPIST) |
| Authorized Official Contact | 9203792566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumos Wellness, Llc 325 W Silver Spring Dr # 2fe Glendale WI 53217-5000 Ph: (920) 379-2566 | Lumos Wellness, Llc 325 W Silver Spring Dr # 2fe Glendale WI 53217-5000 Ph: (920) 379-2566 |
| NPI Number | 1770972531 |
|---|---|
| Provider Enumeration Date | 01/16/2015 |
| Last Update Date | 01/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770972531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4921 (Wisconsin) | Primary |
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