Organization
LUNAR PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUBAN A WARSAME CNP (OWNER)
(614) 806-5157
Entity
Organization
Contact information
Practice address
3409 SOUTH BLVD, COLUMBUS, OH 43204-1213
(614) 806-5157
Mailing address
3409 SOUTH BLVD, COLUMBUS, OH 43204-1213
(614) 806-5157
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
08/30/2024
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