Most Relevant Information
Provider Data
| NPI Number: | 1003687393 |
| Provider Name: | LORELEI LUNA |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/15/2024 |
| Last Updated: | 01/15/2024 |
Provider Practice Location
243 NASSAU BLVD
GARDEN CITY S
NY
115305532
Practice Location Phone/Fax
| Phone: | 5163875134 |
| Fax: |
Provider Mailing Location
243 NASSAU BLVD
GARDEN CITY S
NY
115305532
Provider Mailing Phone/Fax
| Phone: | 5163875134 |
| Fax: |