ILUMINA LIFE CENTER P.C. NPI 1467852996

NPI Information

NPI: 1467852996
Provider Name: ILUMINA LIFE CENTER, P.C.

Doing Business As: REGENERATIVE SPINE AND WELLNESS CENTER

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
211 GRANITE RUN DR STE 221
LANCASTER, PA
ZIP 17601
Phone: (814) 467-4055
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ILUMINA LIFE CENTER, P.C. is a multi-specialty clinic center in Lancaster, PA. ILUMINA LIFE CENTER, P.C. NPI is 1467852996. The provider is registered as an organization entity type.
The provider Is Doing Business As Regenerative Spine And Wellness Center.

The provider's business location address is:

211 GRANITE RUN DR STE 221
LANCASTER, PA
ZIP 17601
Phone: (814) 467-4055

The provider's authorized official is Florentina Mayko .
The authorized official title is Ceo and has the following contact phone number (814) 467-4055.

The enumeration date for this NPI number is 9/3/2014 and was last updated on 7/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP3300X	Clinic/Center	Pain			No
2	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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