Provider Demographics
NPI:1598305898
Name:CUA, LUKE M (LAC)
Entity Type:Individual
Prefix:
First Name:LUKE
Middle Name:M
Last Name:CUA
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8526 GARVEY AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-2765
Mailing Address - Country:US
Mailing Address - Phone:626-307-9400
Mailing Address - Fax:626-307-9445
Practice Address - Street 1:8526 GARVEY AVE
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-2765
Practice Address - Country:US
Practice Address - Phone:626-307-9400
Practice Address - Fax:626-307-9445
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist