Provider Demographics
NPI:1851581953
Name:LUNETA, EVA C (LIC AC)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:C
Last Name:LUNETA
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 HUNTER TERRANCE
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075
Mailing Address - Country:US
Mailing Address - Phone:413-493-1475
Mailing Address - Fax:
Practice Address - Street 1:130 COLLEGE ST
Practice Address - Street 2:SUITE 275
Practice Address - City:SOUTH HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01075-1493
Practice Address - Country:US
Practice Address - Phone:413-493-1475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA212712171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist