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Individual

DAVID LUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 388-3000
Mailing address
134 BUSINESS PARK DR, VIRGINIA BEACH, VA 23462-6523
(757) 473-0044

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
136642
FL
390200000X
Student in an Organized Health Care Education/Training Program
RN9410197
FL

Other

Enumeration date
06/30/2021
Last updated
03/09/2023
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