Organization
LUO INTEGRATIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YIJUAN SUN M.D. (PHYSICIAN)
(505) 301-0791
Entity
Organization
Contact information
Practice address
201 DARTMOUTH DR SE, ALBUQUERQUE, NM 87106-2219
(505) 301-0791
Mailing address
7408 HAWTHORN AVE NE, ALBUQUERQUE, NM 87113-2032
(505) 301-0791
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
207R00000X
Internal Medicine Physician
Primary
2003-0650
NM
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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