# LUNAR PSYCHIATRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275316994
- **Authorized official:** SUBAN A WARSAME CNP (OWNER)
- **Authorized official phone:** (614) 806-5157

## Contact information

- **Practice address:** 3409 SOUTH BLVD, COLUMBUS, OH 43204-1213
- **Practice address phone:** (614) 806-5157
- **Mailing address:** 3409 SOUTH BLVD, COLUMBUS, OH 43204-1213
- **Mailing address phone:** (614) 806-5157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2023
- **Last updated:** 08/30/2024