| Lumivara Health Llc | |
|
9920 Boe Rd Irvington AL 36544-2766 | |
| (334) 780-8814 | |
| Not Available |
| Full Name | Lumivara Health Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9920 Boe Rd, Irvington, Alabama |
| Authorized Official Name and Position | Viengxay Thomas Malavong (CEO) |
| Authorized Official Contact | 3347808814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumivara Health Llc 9920 Boe Rd Irvington AL 36544-2766 Ph: (334) 780-8814 | Lumivara Health Llc 9920 Boe Rd Irvington AL 36544-2766 Ph: (334) 780-8814 |
| NPI Number | 1952269938 |
|---|---|
| Provider Enumeration Date | 01/09/2026 |
| Last Update Date | 01/09/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952269938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Bayou La Batre Area Health Development Board, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12701 Padgett Switch Rd, Irvington, AL 36544 Phone: 251-824-2174 Fax: 251-824-3444 | |
Bayou La Batre Area Health Development Board, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12701 Padgett Switch Rd, Irvington, AL 36544 Phone: 251-824-2174 Fax: 251-824-3444 | |
Bayou La Batre Area Health Development Board, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12701 Padgett Switch Rd, Irvington, AL 36544 Phone: 251-824-2174 Fax: 251-824-3444 | |
Bayou La Batre Area Health Development Board, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12701 Padgett Switch Rd, Irvington, AL 36544 Phone: 251-824-2174 Fax: 251-824-3444 |