Doctor Name: | MR. SHAWN JEFFERY LUNA |
NPI Number: | 1982002739 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | PA51984 |
Business Practice Address: | 1000 S Madera Ave Kerman, CA - 936301750 |
Business Phone Number: | 5598469370 |
Business Fax Number: | 5598469352 |
Mailing Address: | 1479 W Lacey Blvd, HANFORD |
State: | CA |
Postal Code: | 932305906 |
Phone Number: | 5595834617 |
Fax Number: | 5595834625 |
NPI Enumeration Date: | 12/10/2014 |
NPI Last Update Date: | 01/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA51984 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |