Provider Demographics
NPI:1053984203
Name:LUMA, LODY
Entity type:Individual
Prefix:
First Name:LODY
Middle Name:
Last Name:LUMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11181
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77391-1181
Mailing Address - Country:US
Mailing Address - Phone:954-982-4197
Mailing Address - Fax:832-202-0525
Practice Address - Street 1:1206 NEWSOME GLENN DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-7118
Practice Address - Country:US
Practice Address - Phone:954-982-4197
Practice Address - Fax:832-202-0525
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-23
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty