Provider Demographics
NPI:1902893076
Name:THE LUMI SURGERY INC
Entity Type:Organization
Organization Name:THE LUMI SURGERY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR MD
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:FUJIMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-829-9999
Mailing Address - Street 1:270 E STATE ST
Mailing Address - Street 2:SUITE 240
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-4957
Mailing Address - Country:US
Mailing Address - Phone:330-829-9999
Mailing Address - Fax:330-821-8501
Practice Address - Street 1:270 E STATE ST
Practice Address - Street 2:SUITE 240
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-4957
Practice Address - Country:US
Practice Address - Phone:330-829-9999
Practice Address - Fax:330-821-8501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-04
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4023281Medicare PIN