Individual
MR. RYAN LUTHERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 305-8236
Mailing address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 305-8236
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NM
Other
Enumeration date
04/22/2025
Last updated
05/15/2025
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