| Organization Name: | LUREA INMAN |
| NPI Number: | 1205173150 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUREA SHELLY INMAN (OCCUPATIONAL THERAPY ASSISTANT) |
| Mailing Address: | 18610 E Raven Dr Queen Creek |
| State: | AZ US |
| Postal Code: | 851425542 |
| Phone Number: | 4807474143 |
| Fax Number: | |
| NPI Enumeration Date: | 01/12/2013 |
| NPI Last Update Date: | 01/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0100X |
| License Number: | 4979 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Occupational Medicine |
| Taxonomy Definition: | |