Luneau, Tabatha Renee

Luneau, Tabatha Renee is an individual health care provider with primary practice located at 2115 S Fremont Ave Suite 5000, Springfield MO 65804-2239. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Luneau, Tabatha Renee can be contacted via phone (417) 820-3960.

Contact Information

Primary practice address
2115 S Fremont Ave Suite 5000 Springfield MO 65804-2239
Phone: (417) 820-3960
Fax: (417) 820-3966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-617 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2013008754 Missouri

Profile Details

NPI number 1881936797
LBN Legal business name Luneau, Tabatha Renee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2013
Last updated May 19th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881936797 NPPES
Missouri Other 431560263 TRICARE

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