Provider Demographics
NPI:1255549929
Name:LUMINAUD INC
Entity type:Organization
Organization Name:LUMINAUD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V. PRES
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:LENNOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-255-9082
Mailing Address - Street 1:8688 TYLER BLVD
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-4348
Mailing Address - Country:US
Mailing Address - Phone:440-255-9082
Mailing Address - Fax:440-255-2250
Practice Address - Street 1:8688 TYLER BLVD
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-4348
Practice Address - Country:US
Practice Address - Phone:440-255-9082
Practice Address - Fax:440-255-2250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0246490001Medicare ID - Type UnspecifiedPROVIDER ID NUMBER