Organization
LYDIA A. LUNA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA A LUNA M.D. (PRESIDENT)
(817) 877-1848
Entity
Organization
Contact information
Practice address
1307 8TH AVE STE 602, FORT WORTH, TX 76104-4143
(817) 877-1848
(817) 877-3716
Mailing address
1307 8TH AVE STE 602, FORT WORTH, TX 76104-4143
(817) 877-1848
(817) 877-3716
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G1465
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G279
BCBS OF TX
TX
Enumeration date
05/02/2008
Last updated
05/02/2008
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