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General NPI Number Information
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NPI Number | 1891652202
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Entity Type | Organization
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Legal Business Name | LUMINA PSYCHIATRY AND WELLNESS PLLC
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 31 WILLARD ST
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City | WAREHAM
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State | MA
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Zip | 02571-1209
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Country | US
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Telephone | 508-738-3387
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Fax | 508-772-8776
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Provider Business Mailing Address
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Address Line | 31 WILLARD ST
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City | WAREHAM
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State | MA
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Zip | 02571-1209
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Country | US
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Telephone | 508-738-3387
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Fax | 508-772-8776
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Authorized Official
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Title or Position | CEO
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Name | MRS. CYNTHIA LOPES
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Credential | DNP, PMHNP, AGPCNP
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Telephone | 508-738-3387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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