Provider Demographics
NPI:1326260134
Name:ARMSTRONG, LUNA (LM, CPM)
Entity Type:Individual
Prefix:
First Name:LUNA
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:LM, CPM
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 1606
Mailing Address - Street 2:
Mailing Address - City:MENDOCINO
Mailing Address - State:CA
Mailing Address - Zip Code:95460
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:28371B ALBION RIDGE ROAD
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:CA
Practice Address - Zip Code:95410
Practice Address - Country:US
Practice Address - Phone:707-937-1517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA167175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay