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NPI Code Detail

MEDICARE: NEURO LAB PLLC

MEDICARE: NEURO LAB PLLC
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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1306676788
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEURO LAB PLLC
Provider Business Mailing Address
First Line : 513 E HASTINGS RD STE B
Second Line :
City : SPOKANE
State : WA
Zip : 99218-1963
Country : US
Telephone Number : 509-570-6761
Fax Number :
Provider Business Practice Location Address
First Line : 513 E HASTINGS RD STE B
Second Line :
City : SPOKANE
State : WA
Zip : 99218-1963
Country : US
Telephone Number : 509-570-6761
Fax Number :
Authorized Official
Title or Position : OWNER, MANAGING MEMBER
Name : JULIE ANN LUNA
Credential : PT, DPT, NCS
Telephone Number : 509-570-6761
Provider Enumeration Date : 08/01/2024
Last Update Date : 08/01/2024

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