MEDICARE: LIBIA A LUEVANO N.D.

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
1	175F00000X	Naturopath	14-1435	AZ

General Provider Information

NPI Number	:	1518375831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIBIA A LUEVANO N.D.

Provider Business Mailing Address
First Line	:	4008 E. PIMA ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712
Country	:	US
Telephone Number	:	520-322-9355
Fax Number	:	520-322-9359

Provider Business Practice Location Address
First Line	:	4008 E. PIMA ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712
Country	:	US
Telephone Number	:	520-322-9355
Fax Number	:	520-322-9359

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2014
Last Update Date	:	09/15/2020

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