Healthcare Provider Details

I. General information

NPI: 1457273294
Provider Name (Legal Business Name): LUNA LOWSKY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1975 4TH ST
SAN FRANCISCO CA
94143-2351
US

IV. Provider business mailing address

1427 CLAY ST
SAN FRANCISCO CA
94109-0210
US

V. Phone/Fax

Practice location:
  • Phone: 415-472-1000
  • Fax:
Mailing address:
  • Phone: 360-489-2085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number95416641
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: