Individual
LACI LEANNE LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
203 MEMORY LN APT B, WHITEHOUSE, TX 75791-3680
(903) 426-8106
Mailing address
203 MEMORY LN APT B, WHITEHOUSE, TX 75791-3680
(903) 426-8106
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
321716
TX
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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