Provider Demographics
NPI:1154098572
Name:LUMA, MARION
Entity Type:Individual
Prefix:
First Name:MARION
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 1:6718 CHILLUM MANOR RD
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-3010
Mailing Address - Country:US
Mailing Address - Phone:202-836-5287
Mailing Address - Fax:410-946-2010
Practice Address - Street 1:6718 CHILLUM MANOR RD
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-3010
Practice Address - Country:US
Practice Address - Phone:202-836-5287
Practice Address - Fax:410-946-2010
Is Sole Proprietor?:No
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00035109376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide