NPI | 1952104218 |
---|---|
Doing Business As | LUMOS AESTHETICS & WELLNESS |
Entity Type | Organization |
Authorized Contact | MARK ABRAHAM FEANNY Medical Director 832-850-6090 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2025-03-31 |
Last Update Date | 2025-03-31 |