Luna, Stacy Marie

Luna, Stacy Marie is an individual health care provider with primary practice located at 1041 Kirkpatrick Rd Ste 150 , Burlington NC 27215-8068. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Luna, Stacy Marie can be contacted via phone (336) 890-3390.

Contact Information

Primary practice address
1041 Kirkpatrick Rd Ste 150 Burlington NC 27215-8068
Phone: (336) 890-3390
Fax: (336) 890-3391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 103454 North Carolina

Profile Details

NPI number 1851340038
LBN Legal business name Luna, Stacy Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Aug 17th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851340038 NPPES
North Carolina MEDICAID 1851340038
North Carolina MEDICAID 2307665
North Carolina MEDICAID 07478397

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