Individual
DR. JAYSON A LUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 N WASHINGTON ST, APT 45, CHANDLER, AZ 85225-5523
(716) 310-4147
Mailing address
123 N WASHINGTON ST, APT 45, CHANDLER, AZ 85225-5523
(716) 310-4147
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
231767
NY
208000000X
Pediatrics Physician
231767
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000527639002
BC/BS
—
05
—
02552674
—
NY
01
—
041018000001
FIDELIS
—
01
—
1518082411
UNIVERA
—
01
—
2115250
IHA
—
05
—
231767
—
NY
Enumeration date
03/20/2007
Last updated
06/17/2015
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