Individual
DR. LUTHER L. WRIGHT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,M.SC.,MT(ASCP)
Contact information
Practice address
524 SOUTHPARK BOULEVARD, JENCARE NEIGHBORHOOD MEDICAL SOUTH PARK, LLC, COLONIAL HEIGHTS, VA 23834
(804) 504-7980
(804) 504-7991
Mailing address
524 SOUTHPARK BOULEVARD, JENCARE NEIGHBORHOOD MEDICAL SOUTH PARK, LLC, COLONIAL HEIGHTS, VA 23834
(804) 504-7980
(804) 504-7991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101241279
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285705228
—
VA
01
—
293417
BCBS
VA
Enumeration date
11/13/2006
Last updated
10/07/2014
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