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Organization
LIFEWORX
Active
Organization
LIFEWORX
Active
Parent organization
LUNA UNLIMITED
Other names
LUNA UNLIMITED
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUNA UNLIMITED
Authorized official
MS. LAUREN ELIZABETH PETERS (CEO)
(833) 586-2467
Entity
Organization
Contact information
Practice address
6001 LAKE HUBBARD PKWY, GARLAND, TX 75043-4727
(833) 586-2467
(833) 586-2467
Mailing address
5954 BROADWAY BLVD # 107, GARLAND, TX 75043-5822
(833) 586-2467
(833) 586-2467
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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