Provider Demographics
NPI:1841826724
Name:COOPER, LETICIA LUNA FLORES (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:LETICIA
Middle Name:LUNA FLORES
Last Name:COOPER
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:PO BOX 54136
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79453-4136
Mailing Address - Country:US
Mailing Address - Phone:806-771-1386
Mailing Address - Fax:806-771-1388
Practice Address - Street 1:3708 22ND PL UNIT 1
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1353
Practice Address - Country:US
Practice Address - Phone:806-771-7412
Practice Address - Fax:806-771-7414
Is Sole Proprietor?:No
Enumeration Date:2020-03-23
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143536363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily