Individual
DR. SIU PING LUTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 N OLD WILDERNESS RD, NIXA, MO 65714-9490
(417) 269-2227
(417) 269-2235
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2003014085
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198376
BLUE CROSS
—
05
—
207309808
—
MO
Enumeration date
08/14/2006
Last updated
05/12/2025
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