Zita Luna-baniqued M.D.

NPI 1669536686 - Contractor - 171W00000X

NPI Details
NPI 1669536686
Gender Female
Enumeration Date 12/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1585 THIRD ST.
BAYNE JONES ACH
FORT POLK LA, 71459-5110, US
Phone (337) 531-3074
Fax (337) 531-3709
Business Location
1605 AMOUR DR
LEESVILLE LA, 71446-5212, US
Phone (337) 238-9317
Fax (337) 531-3709
Toxanomy
Taxonomy Code 171W00000X
License State California
License Number A37780
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According to our database, Zita Luna-baniqued M.D. NPI is 1669536686, taxonomy code is 171W00000X and license number is A37780, license state is located at California. Zita Luna-baniqued M.D. physically located at 1585 Third St., Fort Polk LA, 71459-5110. NPI Number Zita Luna-baniqued M.D. has the Individual type.

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1669536686 NPI number is provided on an as is basis without warranty of any kind. 1669536686 is maintained by the National Plan & Provider Enumeration System. The contents of Zita Luna-baniqued M.D. are for informational purposes only.