Ilumina Life Center, PC
Ilumina Life Center, PC is an Interventional Pain Medicine Physician in Burnham, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2015.
- Licensed in
- PA
- In the registry since
- 2015
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
418 N Logan Blvd Ste BBurnham, PA 17009-1816
Phone: (717) 242-3900
Fax: (717) 248-8590
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Interventional Pain Medicine Physician (primary) | Taxonomy 208VP0014X · Licence MD423112 (PA) |
|---|
Record details
| NPI number | 1942686753 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Melody Cooper — Ceo · (814) 467-4055 |
| NPI enumerated | August 4, 2015 |
| Last updated in NPPES | August 4, 2015 |
| Mailing address | 136 Jaycee Dr, Suite 10, Johnstown, PA 15904-3650 |