Individual
LUMA ESSAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1030 SIENA DR, WAKE FOREST, NC 27587-2781
(919) 235-6511
Mailing address
PO BOX 803854, KANSAS CITY, MO 64180-3854
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2025-02182
NC
390200000X
Student in an Organized Health Care Education/Training Program
250628
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437714003
—
NC
Enumeration date
05/08/2019
Last updated
04/16/2026
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