Individual
KEITH LUTHULI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 ST LUKES BLVD, EASTON, PA 18045-5670
(484) 526-1000
Mailing address
2587 MILAN ST, EASTON, PA 18045-5796
(215) 873-6323
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT224357
PA
2084P0800X
Psychiatry Physician
Primary
MD485767
PA
Other
Enumeration date
06/26/2021
Last updated
07/17/2024
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