Provider Demographics
NPI:1497758650
Name:LUZ, ASUNCION Q (MD)
Entity Type:Individual
Prefix:DR
First Name:ASUNCION
Middle Name:Q
Last Name:LUZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:770 RIVERSIDE AVE
Mailing Address - Street 2:SUITE 17
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-1476
Mailing Address - Country:US
Mailing Address - Phone:517-265-8134
Mailing Address - Fax:517-265-2237
Practice Address - Street 1:770 RIVERSIDE AVE
Practice Address - Street 2:SUITE 17
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-1476
Practice Address - Country:US
Practice Address - Phone:517-265-8134
Practice Address - Fax:517-265-2237
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2015-07-29
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Provider Licenses
StateLicense IDTaxonomies
MI4301032216208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3331080Medicaid
D91352Medicare UPIN
0M54800Medicare ID - Type Unspecified