Individual
SUSAN L. LUTHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1008 W MAIN ST, DOVER FOXCROFT, ME 04426-3745
(207) 564-8710
(207) 564-8715
Mailing address
118 MOOSEHEAD TRL, STE 5, NEWPORT, ME 04953-4055
(207) 368-5189
(207) 368-4213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12819
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304890099
—
ME
01
—
P00165458
RAILROAD MEDICARE
ME
Enumeration date
06/11/2006
Last updated
02/25/2011
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