Provider Demographics
NPI:1215646930
Name:LUNA, DIANE (RRT)
Entity type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:
Last Name:LUNA
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:MRS
Other - First Name:DIANE
Other - Middle Name:H
Other - Last Name:LUNA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RRT
Mailing Address - Street 1:1230 COUNTY ROAD 111
Mailing Address - Street 2:
Mailing Address - City:ALICE
Mailing Address - State:TX
Mailing Address - Zip Code:78332-7869
Mailing Address - Country:US
Mailing Address - Phone:316-655-0666
Mailing Address - Fax:
Practice Address - Street 1:1230 COUNTY ROAD 111
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-7869
Practice Address - Country:US
Practice Address - Phone:316-655-0666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered