OrganizationActive
Illuminated Direction
NPI 1780102335 · Health Maintenance Organization · Springfield, VA
Provider details
- NPI number
- 1780102335
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Authorized official
- Jonathan Lacewell, Owner
Practice location
6116 Rolling Road Suite 104
Springfield, VA 22152
Phone: (571) 730-8445
Fax: (888) 227-5443
Mailing address
6116 Rolling Road Suite 104
Springfield, VA 22152
Registry dates
- Enumerated
- 2017-09-05
- Last updated
- 2017-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.