# LYDIA A. LUNA, M.D., P.A.

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

## Provider details

- **NPI number:** 1669648341
- **Authorized official:** LYDIA A LUNA M.D. (PRESIDENT)
- **Authorized official phone:** (817) 877-1848

## Contact information

- **Practice address:** 1307 8TH AVE STE 602, FORT WORTH, TX 76104-4143
- **Practice address phone:** (817) 877-1848
- **Practice address fax:** (817) 877-3716
- **Mailing address:** 1307 8TH AVE STE 602, FORT WORTH, TX 76104-4143
- **Mailing address phone:** (817) 877-1848
- **Mailing address fax:** (817) 877-3716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | G1465 | TX | Yes |

## Other

- **Enumeration date:** 05/02/2008
- **Last updated:** 05/02/2008
