Provider Demographics
NPI:1588337653
Name:LAHAIE LUNA, GABRIELA MARIE (MD)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:MARIE
Last Name:LAHAIE LUNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4539 CASCADES SHORELINE DR
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75709-8902
Mailing Address - Country:US
Mailing Address - Phone:312-800-3620
Mailing Address - Fax:
Practice Address - Street 1:1201 W GRANDE BLVD
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-6124
Practice Address - Country:US
Practice Address - Phone:903-597-4644
Practice Address - Fax:267-426-5015
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-26
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD472980207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology