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NPI Code Detail

MEDICARE: MICHELLE LUNA

MEDICARE: MICHELLE LUNA
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1750670717
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE LUNA
Provider Business Mailing Address
First Line : 4160 S PECOS RD STE 17
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5027
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6565 SPENCER ST STE 102
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-3924
Country : US
Telephone Number : 702-275-6970
Fax Number : 725-267-1081
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2011
Last Update Date : 04/23/2024

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Directions to “ MICHELLE LUNA ” Practice Location

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