Healthcare Provider Details

I. General information

NPI: 1639485360
Provider Name (Legal Business Name): STEPHEN LUNA DC, LMP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2010
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 N MOLTER RD SUITE 108
LIBERTY LAKE WA
99019-5036
US

IV. Provider business mailing address

2310 N MOLTER RD STE 108
LIBERTY LAKE WA
99019-8621
US

V. Phone/Fax

Practice location:
  • Phone: 509-924-4443
  • Fax:
Mailing address:
  • Phone: 509-924-4443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA60148628
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR.CH.70055884
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: