MEDICARE: KRISTINE ANDREA LUNA TIUSECO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	46646	WA
2	207R00000X	Internal Medicine Physician	MD00046646	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00381981	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548295058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINE ANDREA LUNA TIUSECO MD

Provider Business Mailing Address
First Line	:	11511 CANTERWOOD BLVD STE 320
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98332-5813
Country	:	US
Telephone Number	:	253-857-1350
Fax Number	:	253-857-1399

Provider Business Practice Location Address
First Line	:	11511 CANTERWOOD BLVD STE 320
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98332-5813
Country	:	US
Telephone Number	:	253-857-1350
Fax Number	:	253-857-1399

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	08/03/2021

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Directions to “ KRISTINE ANDREA LUNA TIUSECO MD” Practice Location

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