Provider Demographics
NPI:1710089610
Name:MCPHERSON, LUZ GALANG (MD)
Entity Type:Individual
Prefix:DR
First Name:LUZ
Middle Name:GALANG
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LUZ
Other - Middle Name:VENERANDA BUMANLAG
Other - Last Name:GALANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8700 SUDLEY RD
Mailing Address - Street 2:NEONATOLOGY
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4418
Mailing Address - Country:US
Mailing Address - Phone:703-369-8134
Mailing Address - Fax:
Practice Address - Street 1:8700 SUDLEY RD
Practice Address - Street 2:NEONATOLOGY
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4418
Practice Address - Country:US
Practice Address - Phone:703-369-8134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012351312080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H27987Medicare UPIN