Provider Demographics
NPI:1043907629
Name:LALUZ, BARBARA A (CRPA)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:A
Last Name:LALUZ
Suffix:
Gender:F
Credentials:CRPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 CLAY AVE APT 4M
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-1777
Mailing Address - Country:US
Mailing Address - Phone:917-553-6646
Mailing Address - Fax:
Practice Address - Street 1:1450 CLAY AVE APT 4M
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-1777
Practice Address - Country:US
Practice Address - Phone:917-553-6646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2023-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYBQIHZ9JEXM171400000X
NY5638175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No171400000XOther Service ProvidersHealth & Wellness Coach