NPI 1770972531
Lumos Wellness, LLC
Practice location
- Address
- 325 W Silver Spring Dr # 2fe, Glendale, WI 53217-5000
- Phone
- (920) 379-2566
Authorised official
- Name
- Noel L'Esperance
- Title
- Owner, Counselor, Art Therapist
- Phone
- (920) 379-2566
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1770972531
- Entity type
- Organization
- NPI issued
- 16 Jan 2015
- Record last updated
- 16 Jan 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.