Illuminated Direction
NPI #1780102335 in Springfield, Virginia
Provider Information
- NPI Number
- 1780102335
- Entity Type
- Organization
- Organization Name
- Illuminated Direction
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Sep 5, 2017
- Last Updated
- Sep 5, 2017
Practice Location
- Address
- 6116 ROLLING ROAD SUITE 104
- City
- Springfield
- State
- Virginia
- ZIP Code
- 22152
- Phone
- (571) 730-8445
Authorized Official
- Name
- JONATHAN LACEWELL
- Title
- OWNER
- Phone
- (919) 452-7931
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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