Provider Demographics
NPI:1942601075
Name:LUNA, JOSEPH CHRISTOPHER (CSFA,)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:CHRISTOPHER
Last Name:LUNA
Suffix:
Gender:M
Credentials:CSFA,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1317
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22402-1317
Mailing Address - Country:US
Mailing Address - Phone:808-230-3933
Mailing Address - Fax:
Practice Address - Street 1:2941 TRUFFLE OAK PLACE
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191
Practice Address - Country:US
Practice Address - Phone:808-230-3933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-08
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical