Individual
MR. LOUIS JOSE LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LBSW
Contact information
Practice address
809 S COPPER ST, DEMING, NM 88030-4601
(505) 544-8712
(505) 544-0072
Mailing address
809 S COPPER ST, PO BOX 792, DEMING, NM 88030-4601
(505) 544-8712
(505) 544-0072
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
B-2768
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1394
BUSSINESS NUMBER
NM
01
—
B-2768
SOCIAL WORK
NM
Enumeration date
03/09/2007
Last updated
07/08/2007
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