NPI 1235697608

Luna Y Sol LLC

Organisation Exclusive Provider Organization Salt Lake City, UT

Practice location

Address: 150 S 600 E STE 7c, Salt Lake City, UT 84102-1989
Phone: (801) 949-1993
Mailing address: 1204 S McClelland St, Salt Lake City, UT 84105-1825

Authorised official

Name: Debra Sylvester
Title: Owner / Director
Phone: (801) 949-1993

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1235697608
Entity type: Organization
NPI issued: 5 Mar 2019
Record last updated: 5 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.