| Luma Healthcare, Inc | |
|
1919 W North Ave # 200 Milwaukee WI 53205-1153 | |
| (414) 287-1000 | |
| Not Available |
| Full Name | Luma Healthcare, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1919 W North Ave # 200, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Maria De Elejalde (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 4142280100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luma Healthcare, Inc 2311 W Good Hope Rd Glendale WI 53209-2735 Ph: (414) 228-0100 | Luma Healthcare, Inc 1919 W North Ave # 200 Milwaukee WI 53205-1153 Ph: (414) 287-1000 |
| NPI Number | 1972861623 |
|---|---|
| Provider Enumeration Date | 05/01/2012 |
| Last Update Date | 07/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972861623 | NPI | - | NPPES |
| 1972861623 | Medicaid | WI |
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