Provider Demographics
NPI:1023298916
Name:EDWARD C LUAN MD SC
Entity type:Organization
Organization Name:EDWARD C LUAN MD SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATIENT ACCOUNT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:A
Authorized Official - Last Name:ORWIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-692-5600
Mailing Address - Street 1:7620 N UNIVERSITY ST STE 108
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61614-8300
Mailing Address - Country:US
Mailing Address - Phone:309-692-5600
Mailing Address - Fax:309-692-5601
Practice Address - Street 1:7620 N UNIVERSITY ST STE 108
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61614-8300
Practice Address - Country:US
Practice Address - Phone:309-692-5600
Practice Address - Fax:309-692-5601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty