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Individual
PAUL LUTHER
Active
Individual
PAUL LUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A30758
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A307580
—
CA
01
—
A30758
MEDICAL LICENSE#
CA
01
—
ZZZ91891Z
COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
CA
01
—
ZZZ91892Z
COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
CA
01
—
ZZZ92069Z
COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
CA
Enumeration date
07/12/2006
Last updated
03/07/2023
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