Provider Demographics
NPI:1790678936
Name:AL HETTA, LUMA A
Entity type:Individual
Prefix:
First Name:LUMA
Middle Name:A
Last Name:AL HETTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3115 N HILL RD APT 201
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68504-4712
Mailing Address - Country:US
Mailing Address - Phone:203-668-2098
Mailing Address - Fax:
Practice Address - Street 1:3115 N HILL RD APT 201
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68504-4712
Practice Address - Country:US
Practice Address - Phone:203-668-2098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide