Most Relevant Information
Provider Data
| NPI Number: | 1003312307 |
| Provider Name: | THEODORE LUNA-STUPEC |
| Entity Type: | Individual |
| Taxonomy Code: | 225400000X |
| Specialty: | Rehabilitation Practitioner |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/04/2018 |
| Last Updated: | 04/04/2018 |
Provider Practice Location
3680 N RANCHO DR
LAS VEGAS
NV
891303180
Practice Location Phone/Fax
| Phone: | 7025437228 |
| Fax: |
Provider Mailing Location
3680 N RANCHO DR
LAS VEGAS
NV
891303180
Provider Mailing Phone/Fax
| Phone: | 7025437228 |
| Fax: |