Individual
LYDIA A LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., P. A.
Contact information
Practice address
1307 8TH AVE, #602, FORT WORTH, TX 76104-4143
(817) 877-1848
(817) 877-3716
Mailing address
1307 8TH AVE, #602, FORT WORTH, TX 76104-4143
(817) 877-1848
(817) 877-3716
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G1465
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G279
MEDICARE ID #
TX
01
—
2937634
CIGNA
TX
01
—
4133080
AETNA
TX
01
—
G279
BCBS
TX
Enumeration date
03/10/2006
Last updated
06/26/2013
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