Individual
CARL E LUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8917 20TH ST E, EDGEWOOD, WA 98371-1561
(318) 344-1171
Mailing address
PO BOX 151, MILTON, WA 98354-0151
(318) 344-1171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP0001190
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8173593
—
WA
Enumeration date
07/30/2006
Last updated
06/17/2024
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