Provider Demographics
NPI:1174737787
Name:LUNA, ERIN (DO)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:LUNA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9071
Mailing Address - Country:US
Mailing Address - Phone:719-365-0110
Mailing Address - Fax:719-365-0111
Practice Address - Street 1:6161 TIMBER RAIL PT STE 100
Practice Address - Street 2:
Practice Address - City:FOUNTAIN
Practice Address - State:CO
Practice Address - Zip Code:80817-1442
Practice Address - Country:US
Practice Address - Phone:719-365-0110
Practice Address - Fax:719-365-0111
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0233207Q00000X
390200000X
CO50572207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO47106557Medicaid