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Individual
IVAN LUNA
Active
Individual
IVAN LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, CSCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1122232
TX
225100000X
Physical Therapist
7610
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
893T07
BCBS
TX
Enumeration date
05/10/2006
Last updated
12/02/2013
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