Basic Information
| Provider Information | |||||||||
| NPI: | 1942601075 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LUNA | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | CHRISTOPHER | ||||||||
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| Credential: | CSFA, | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1317 | ||||||||
| Address2: | |||||||||
| City: | FREDERICKSBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 224021317 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8082303933 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2941 TRUFFLE OAK PLACE | ||||||||
| Address2: | |||||||||
| City: | WOODBRIDGE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 22191 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8082303933 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/08/2014 | ||||||||
| LastUpdateDate: | 10/18/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AS0400X | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Surgical |
No ID Information.