Individual
LUNA U SY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
324 WHITE AVE, OZARK, AL 36360-0908
(334) 445-9101
(334) 445-3501
Mailing address
PO BOX 190, OZARK, AL 36361-0190
(334) 445-9101
(334) 445-3501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00019210
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009998295
—
AL
Enumeration date
08/18/2006
Last updated
08/22/2013
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