| Lumate North Carolina | |
|
3600 N Duke St # 1191 Durham NC 27704-1709 | |
| (210) 872-9611 | |
| Not Available |
| Full Name | Lumate North Carolina |
|---|---|
| Speciality | Psychologist |
| Location | 3600 N Duke St # 1191, Durham, North Carolina |
| Authorized Official Name and Position | Michael Detweiler (CEO) |
| Authorized Official Contact | 2108729611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumate North Carolina 3600 N Duke St # 1191 Durham NC 27704-1709 Ph: (210) 872-9611 | Lumate North Carolina 3600 N Duke St # 1191 Durham NC 27704-1709 Ph: (210) 872-9611 |
| NPI Number | 1861198889 |
|---|---|
| Provider Enumeration Date | 02/01/2023 |
| Last Update Date | 02/07/2023 |
| Certification Date | 02/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861198889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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