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NPI Code Detail

MEDICARE: MS. LAURA LEE LUNA BSW

MEDICARE: MS. LAURA LEE LUNA BSW
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1679826499
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURA LEE LUNA BSW
Provider Business Mailing Address
First Line : 50 VANTAGE POINT DR
Second Line : SUITE 4
City : ROCHESTER
State : NY
Zip : 14624-1180
Country : US
Telephone Number : 585-352-7775
Fax Number : 585-352-7879
Provider Business Practice Location Address
First Line : 50 VANTAGE POINT DR
Second Line : SUITE 4
City : ROCHESTER
State : NY
Zip : 14624-1180
Country : US
Telephone Number : 585-352-7775
Fax Number : 585-352-7879
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2012
Last Update Date : 10/17/2012

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