OrganizationActive
Ilumina Life Center, P.C.
NPI 1942686753 · Interventional Pain Medicine Physician · Burnham, PA
Provider details
- NPI number
- 1942686753
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melody Cooper, Ceo(814) 467-4055
- License
- MD423112 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
418 N Logan Blvd
Suite B
Burnham, PA 17009-1816
Phone: (717) 242-3900
Fax: (717) 248-8590
Approximate (ZIP-level) locationGet directions
Mailing address
136 Jaycee Dr
Johnstown, PA 15904-3650
Registry dates
- Enumerated
- 2015-08-04
- Last updated
- 2015-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.