Individual
ERIC LUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-4000
Mailing address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-4000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
955333014M
—
NC
Enumeration date
04/14/2022
Last updated
04/14/2022
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