Individual
MR. RAUL LUEVANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
698 FAIRVIEW RD, SIMPSONVILLE, SC 29860
(540) 678-4895
Mailing address
698 FAIRVIEW RD, SIMPSONVILLE, SC 29680-6708
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024170350
VA
363LF0000X
Family Nurse Practitioner
Primary
18063
SC
363LF0000X
Family Nurse Practitioner
5008536
NC
Other
Enumeration date
09/26/2012
Last updated
01/28/2026
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