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General NPI Number Information
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NPI Number | 1649153263
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Entity Type | Organization
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Legal Business Name | LUMINA CHIROPRACTIC
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 7902 NE ST JOHNS RD STE 109
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City | VANCOUVER
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State | WA
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Zip | 98665-1094
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Country | US
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Telephone | 360-836-0097
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Fax | 360-991-0331
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Provider Business Mailing Address
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Address Line | 4001 NE 130TH ST
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City | VANCOUVER
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State | WA
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Zip | 98686-2670
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Country | US
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Telephone | 503-333-9294
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Fax | 360-991-0331
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Authorized Official
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Title or Position | OWNER, CHIROPRACTOR
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Name | DR. LACY DILLON
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Credential | DC
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Telephone | 503-333-9294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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