Healthcare Provider Details

I. General information

NPI: 1942798525
Provider Name (Legal Business Name): LUNA CHEN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2018
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 SCENERY DR
ELIZABETH PA
15037-2068
US

IV. Provider business mailing address

300 SCENERY DR
ELIZABETH PA
15037-2068
US

V. Phone/Fax

Practice location:
  • Phone: 412-751-4661
  • Fax: 412-751-4661
Mailing address:
  • Phone: 412-751-4661
  • Fax: 412-751-4661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS021160
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: