Provider Demographics
NPI:1710022116
Name:LUNA, DONALD P (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:P
Last Name:LUNA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DONALD
Other - Middle Name:P
Other - Last Name:LUNA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:230 W HIGH ST
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-2218
Mailing Address - Country:US
Mailing Address - Phone:937-773-5646
Mailing Address - Fax:
Practice Address - Street 1:230 W HIGH ST
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-2218
Practice Address - Country:US
Practice Address - Phone:937-773-5646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000012707OtherBCBS
OH0528969Medicaid
000000012707OtherBCBS
LU0593781Medicare ID - Type Unspecified