Healthcare Provider Details

I. General information

NPI: 1528904711
Provider Name (Legal Business Name): LUNALIGHTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1034 ENDICOTT CT APT 15
LANSING MI
48917-3106
US

IV. Provider business mailing address

3003 EAST AVE #1126
LANSING MI
48912
US

V. Phone/Fax

Practice location:
  • Phone: 517-955-2620
  • Fax:
Mailing address:
  • Phone: 517-955-2620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: KALIA DILWORTH
Title or Position: OWNER/FOUNDER
Credential: DOULA
Phone: 517-348-8594