Provider Demographics
NPI:1205889185
Name:CLAUDE LUVIS MD, PA
Entity type:Organization
Organization Name:CLAUDE LUVIS MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUVIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-824-0500
Mailing Address - Street 1:2682 COURT DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-1449
Mailing Address - Country:US
Mailing Address - Phone:704-824-0500
Mailing Address - Fax:704-824-1600
Practice Address - Street 1:2682 COURT DR
Practice Address - Street 2:SUITE B
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-1449
Practice Address - Country:US
Practice Address - Phone:704-824-0500
Practice Address - Fax:704-824-1600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22249261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8953330Medicaid
NC8953330Medicaid
E00431Medicare UPIN