| NPI | 1346053907 |
|---|---|
| Doing Business As | LUMEN OPTIMAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | DANIEL SPANOGLE Owner/CEO 505-453-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-02-05 |