Individual
JEFFREY L LUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
3790
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060824600
—
MN
05
—
2512657
—
IA
01
—
4994351
BCBS
SD
05
—
6000555
—
SD
Enumeration date
05/17/2006
Last updated
02/22/2013
Update your record
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